Provider Demographics
NPI:1801171335
Name:WHITEHEAD, APRIL RENA (MA)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:RENA
Last Name:WHITEHEAD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 ALOMA AVE
Mailing Address - Street 2:SUITE E-1
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-7133
Mailing Address - Country:US
Mailing Address - Phone:407-765-4094
Mailing Address - Fax:
Practice Address - Street 1:1130 COURTNEY CHASE CIR APT 631
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-8147
Practice Address - Country:US
Practice Address - Phone:407-765-4094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-16
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH9345101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health