Provider Demographics
NPI:1518690700
Name:HARVEY, APRIL MARIE (CADC - II)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:MARIE
Last Name:HARVEY
Suffix:
Gender:F
Credentials:CADC - II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 EMERALD BAY RD STE 104
Mailing Address - Street 2:
Mailing Address - City:SOUTH LAKE TAHOE
Mailing Address - State:CA
Mailing Address - Zip Code:96150-9400
Mailing Address - Country:US
Mailing Address - Phone:714-746-7576
Mailing Address - Fax:
Practice Address - Street 1:870 EMERALD BAY RD STE 104
Practice Address - Street 2:
Practice Address - City:SOUTH LAKE TAHOE
Practice Address - State:CA
Practice Address - Zip Code:96150-9400
Practice Address - Country:US
Practice Address - Phone:714-746-7576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-05
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA055221019101YA0400X
172V00000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No172V00000XOther Service ProvidersCommunity Health Worker