| Glen Forest Associates, Ltd. | |
|
7301 Forest Ave Suite 201 Richmond VA 23226-3792 | |
| (804) 285-4121 | |
| (804) 285-4123 |
| Full Name | Glen Forest Associates, Ltd. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7301 Forest Ave, Richmond, Virginia |
| Authorized Official Name and Position | Phyllis A Berg (PRESIDENT) |
| Authorized Official Contact | 8042854121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Forest Associates, Ltd. 7301 Forest Ave. Suite 201 Richmond VA 23226 Ph: (804) 285-4121 | Glen Forest Associates, Ltd. 7301 Forest Ave Suite 201 Richmond VA 23226-3792 Ph: (804) 285-4121 |
| NPI Number | 1790830479 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790830479 | NPI | - | NPPES |
| 7710003 | Medicaid | VA | |
| 7714661 | Medicaid | VA | |
| 7135475 | Medicaid | VA | |
| 8936960 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Virginia) | Primary |
| 1041C0700X | Social Worker - Clinical | (Virginia) | Primary |
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