| Forest Counseling Center Llc | |
|
1507 Thomas Jefferson Rd Forest VA 24551-3808 | |
| (434) 322-1133 | |
| Not Available |
| Full Name | Forest Counseling Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1507 Thomas Jefferson Rd, Forest, Virginia |
| Authorized Official Name and Position | Kristopher Shaffer (OWNER) |
| Authorized Official Contact | 4343221133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Counseling Center Llc 1765 Waterlick Rd Lynchburg VA 24501-7229 Ph: (434) 322-1133 | Forest Counseling Center Llc 1507 Thomas Jefferson Rd Forest VA 24551-3808 Ph: (434) 322-1133 |
| NPI Number | 1740716901 |
|---|---|
| Provider Enumeration Date | 05/10/2017 |
| Last Update Date | 05/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740716901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0701006562 (Virginia) | Primary |
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