Basic Information
Provider Information
NPI: 1760720718
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARTER
FirstName: APRIL
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: LMHC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: MEDICI-LEDUC
OtherFirstName: APRIL
OtherMiddleName: MARIE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 4101 PARKER AVE
Address2:  
City: WEST PALM BEACH
State: FL
PostalCode: 334052507
CountryCode: US
TelephoneNumber: 5616161222
FaxNumber: 5616161234
Practice Location
Address1: 3901 RIDGEWOOD DR
Address2:  
City: PALM BEACH GARDENS
State: FL
PostalCode: 334031179
CountryCode: US
TelephoneNumber: 5619720659
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/26/2013
LastUpdateDate: 09/26/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800XMH10670FLY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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