Provider Demographics
NPI:1801306675
Name:FITZPATRICK, APRIL (MS)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 COLLETON LOOP
Mailing Address - Street 2:
Mailing Address - City:WALTERBORO
Mailing Address - State:SC
Mailing Address - Zip Code:29488-3057
Mailing Address - Country:US
Mailing Address - Phone:601-572-4053
Mailing Address - Fax:
Practice Address - Street 1:1506 MIKE ST
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32304-4651
Practice Address - Country:US
Practice Address - Phone:601-572-4053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-06
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21698101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health