Forman, Katrina

Forman, Katrina is an sole proprietor health care provider with primary practice located at 4302 Hollywood Blvd # 127 , Hollywood FL 33021-6635. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Social Worker, Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Forman, Katrina can be contacted via phone (954) 505-0554.

Contact Information

Primary practice address
4302 Hollywood Blvd # 127 Hollywood FL 33021-6635
Phone: (954) 505-0554
Fax: (954) 505-0554
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X Florida
Agencies / Community/Behavioral Health 251S00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW17881 Florida

Profile Details

NPI number 1447538269
LBN Legal business name Forman, Katrina
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2011
Last updated Apr 14th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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