Fornwalt, Emily Jeanne
Fornwalt, Emily Jeanne is an sole proprietor health care provider with primary practice located at 614 W Pine St , Johnson City TN 37604-6608. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fornwalt, Emily Jeanne can be contacted via phone (423) 281-4089.Contact Information
Primary practice address
614 W Pine St
Johnson City TN 37604-6608
Phone: (423) 281-4089
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | S6459 | North Carolina |
Profile Details
| NPI number | 1083745434 |
|---|---|
| LBN Legal business name | Fornwalt, Emily Jeanne |
| Credentials | LCMHC-S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| Last updated | May 1st, 2024 - about 6 months ago |
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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