Organization
FORWARD TELEHEALTH & COUNSELING P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDY RENAE TERRELL LCSW (OWNER/FOUNDER/CEO)
(812) 345-5529
Entity
Organization
Contact information
Practice address
152 E LIBERTY RD UNIT B, ORLEANS, IN 47452-1412
(812) 865-8400
(812) 865-8400
Mailing address
152 E LIBERTY RD UNIT B, ORLEANS, IN 47452-1412
(812) 865-8400
(812) 865-8400
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
34005227A
IN
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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