Organization
GLEN FOREST ASSOCIATES, LTD.
Active
Organization
GLEN FOREST ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHYLLIS A BERG PH.D. (PRESIDENT)
(804) 285-4121
Entity
Organization
Contact information
Practice address
7301 FOREST AVE, SUITE 201, RICHMOND, VA 23226-3792
(804) 285-4121
(804) 285-4123
Mailing address
7301 FOREST AVE., SUITE 201, RICHMOND, VA 23226
(804) 285-4121
(804) 285-4123
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
VA
1041C0700X
Clinical Social Worker
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7135475
—
VA
05
—
7710003
—
VA
05
—
7714661
—
VA
05
—
8936960
—
VA
Enumeration date
01/24/2007
Last updated
09/11/2025
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