Basic Information
Provider Information
NPI: 1285901421
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BROWNLEE
FirstName: APRIL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LMHC, CAP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: GREENE
OtherFirstName: APRIL
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: LMHC, CAP
OtherLastNameType: 1
Mailing Information
Address1: 2900 W PROSPECT RD
Address2:  
City: FORT LAUDERDALE
State: FL
PostalCode: 333092519
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2900 W PROSPECT RD
Address2:  
City: FORT LAUDERDALE
State: FL
PostalCode: 333092519
CountryCode: US
TelephoneNumber: 9547315100
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/16/2011
LastUpdateDate: 04/17/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X10828FLY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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