Basic Information
Provider Information
NPI: 1033548433
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BREWER
FirstName: APRIL
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7997 BROWNING DR
Address2:  
City: LITHONIA
State: GA
PostalCode: 300586533
CountryCode: US
TelephoneNumber: 7579527206
FaxNumber:  
Practice Location
Address1: 175 GWINNETT DR
Address2:  
City: LAWRENCEVILLE
State: GA
PostalCode: 300468444
CountryCode: US
TelephoneNumber: 6782092394
FaxNumber: 6782126350
Other Information
ProviderEnumerationDate: 11/06/2013
LastUpdateDate: 04/01/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/01/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X0701006580VAN Behavioral Health & Social Service ProvidersCounselorProfessional
101YP2500XLPC009429GAN Behavioral Health & Social Service ProvidersCounselorProfessional
101YP2500XAPC004080GAY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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