Provider Demographics
NPI:1457515470
Name:LANE, APRIL ROSS (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:ROSS
Last Name:LANE
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35476-5057
Mailing Address - Country:US
Mailing Address - Phone:205-248-0124
Mailing Address - Fax:205-342-3055
Practice Address - Street 1:307 MAIN AVE
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-5057
Practice Address - Country:US
Practice Address - Phone:205-248-0124
Practice Address - Fax:205-342-3055
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1351101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional