Provider Demographics
NPI:1588912141
Name:THORNTON, APRIL DAWN-EADDY (MC, LPC, RPT, CCPT)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:DAWN-EADDY
Last Name:THORNTON
Suffix:
Gender:F
Credentials:MC, LPC, RPT, CCPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3728 VEST MILL RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-2912
Mailing Address - Country:US
Mailing Address - Phone:336-577-8455
Mailing Address - Fax:336-577-8455
Practice Address - Street 1:3728 VEST MILL RD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-2912
Practice Address - Country:US
Practice Address - Phone:336-577-8455
Practice Address - Fax:336-577-8455
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2018-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCASA101YA0400X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)