=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649180928
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FOREST COUNSELING CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/09/2026
-----------------------------------------------------
Last Update Date | 09/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1212 COMMONWEALTH CIR
-----------------------------------------------------
City | FOREST
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24551-2464
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 434-229-3216
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1212 COMMONWEALTH CIR
-----------------------------------------------------
City | FOREST
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24551-2464
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 434-229-3216
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | MR. KEITH D HUFFMAN
-----------------------------------------------------
Credential | LPC-S
-----------------------------------------------------
Telephone | 434-229-3216
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------