Provider Demographics
NPI:1881945285
Name:SMITH, APRIL ROCHELLE (LCAS-A)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:ROCHELLE
Last Name:SMITH
Suffix:
Gender:F
Credentials:LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 26954
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-5032
Mailing Address - Country:US
Mailing Address - Phone:910-723-5004
Mailing Address - Fax:
Practice Address - Street 1:8215 DUNHOLME DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-5928
Practice Address - Country:US
Practice Address - Phone:910-723-5004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-25
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2607A101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2607AMedicaid