Forrest, Alan W.

Forrest, Alan W. is an individual health care provider with primary practice located at 200 Country Club Dr Sw , Blacksburg VA 24060-5400. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Forrest, Alan W. can be contacted via phone (540) 951-2227.

Contact Information

Primary practice address
200 Country Club Dr Sw Blacksburg VA 24060-5400
Phone: (540) 951-2227
Fax: (540) 951-1144
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701001220 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717000476 Virginia

Profile Details

NPI number 1558345140
LBN Legal business name Forrest, Alan W.
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jul 8th, 2007 - about 18 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558345140 NPPES
Virginia Other 176105 ANTHEM BC/BS

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