Provider Demographics
NPI:1144373788
Name:FORSBREY, APRIL D (LPC)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:D
Last Name:FORSBREY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 REVOLUTION MILL DRIVE
Mailing Address - Street 2:STUDIO 1C
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-5162
Mailing Address - Country:US
Mailing Address - Phone:336-420-1960
Mailing Address - Fax:336-275-7146
Practice Address - Street 1:1050 REVOLUTION MILL DR
Practice Address - Street 2:STUDIO 1C
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-5052
Practice Address - Country:US
Practice Address - Phone:336-420-1960
Practice Address - Fax:336-275-7146
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5193101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103292Medicaid