Organization
LSBF PROFESSIONAL COUNSELING SERVICES, PLLC
Active
Other names
Elemental Care Services, Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
BRYANT FORIEST (CEO)
(336) 608-4037
Entity
Organization
Contact information
Practice address
250 EXECUTIVE PARK BLVD STE 120, WINSTON SALEM, NC 27103-1534
(336) 266-3289
Mailing address
250 EXECUTIVE PARK BLVD STE 120, WINSTON SALEM, NC 27103-1534
(336) 608-4037
(336) 893-0569
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/21/2023
Last updated
06/30/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up