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NPI Code Detail

MEDICARE: JULIE M FORREST LCSW

MEDICARE: JULIE M FORREST LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC7150MS
21041C0700XClinical Social WorkerC7150MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205092004
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE M FORREST LCSW
Provider Business Mailing Address
First Line : 213 HENDERSON AVE
Second Line :
City : PASS CHRISTIAN
State : MS
Zip : 39571-4309
Country : US
Telephone Number : 228-300-8819
Fax Number : 601-401-4289
Provider Business Practice Location Address
First Line : 213 HENDERSON AVE
Second Line :
City : PASS CHRISTIAN
State : MS
Zip : 39571-4309
Country : US
Telephone Number : 228-300-8819
Fax Number : 601-401-4289
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2008
Last Update Date : 01/19/2021

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Directions to “ JULIE M FORREST LCSW” Practice Location

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