Provider Demographics
NPI:1700632122
Name:HAMPTON, APRIL (LCDC)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 HEMPHILL ST STE A
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-3105
Mailing Address - Country:US
Mailing Address - Phone:817-334-0111
Mailing Address - Fax:
Practice Address - Street 1:700 HEMPHILL ST STE A
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3105
Practice Address - Country:US
Practice Address - Phone:817-334-0111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14322101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)