Organization
DIANE FORSE, LCSW, PLLC
Active
Parent organization
DIANE FORSE, LCSW, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIANE FORSE, LCSW, PLLC
Authorized official
MS. DIANE M FORSE LCSW (OWNER/PROVIDER)
(757) 603-3997
Entity
Organization
Contact information
Practice address
14 S AUBURN AVE, RICHMOND, VA 23221-2910
(757) 603-3997
Mailing address
6268 CHELSEA CRES, WILLIAMSBURG, VA 23188-1787
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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