Individual
MICHAELA FORSYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, LCAS, CSI
Contact information
Practice address
696 N SPENCE AVE STE A, GOLDSBORO, NC 27534-4354
(919) 330-4147
(919) 330-4142
Mailing address
1104 BRASWELL RD, GOLDSBORO, NC 27530-8568
(919) 221-7883
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A14654
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25188
NC
101YP2500X
Professional Counselor
Primary
A14654
NC
Other
Enumeration date
07/08/2019
Last updated
04/30/2026
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