Provider Demographics
NPI:1194275867
Name:DOHERTY, APRIL MARIE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:MARIE
Last Name:DOHERTY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 GOOSE CREEK CT
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-9862
Mailing Address - Country:US
Mailing Address - Phone:919-909-4439
Mailing Address - Fax:
Practice Address - Street 1:94 GOOSE CREEK CT
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-9862
Practice Address - Country:US
Practice Address - Phone:919-909-4439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4442101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health