Provider Demographics
NPI:1043585789
Name:QUALLS, APRIL LYNN (LPC)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:LYNN
Last Name:QUALLS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:LYNN
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:1910 FAIR OAKS DR
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78574-2014
Mailing Address - Country:US
Mailing Address - Phone:956-424-2544
Mailing Address - Fax:
Practice Address - Street 1:7210 W INTERSTATE HIGHWAY 2 STE B
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-9528
Practice Address - Country:US
Practice Address - Phone:956-897-5160
Practice Address - Fax:956-598-5197
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-13
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67012101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional