Organization
YOU CAN SIT WITH US
Active
Organization
YOU CAN SIT WITH US
Active
Other names
Forward Counseling and Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SHEA LCSW (PRESIDENT)
(901) 315-8625
Entity
Organization
Contact information
Practice address
4646 POPLAR AVE STE 302, MEMPHIS, TN 38117-4433
(901) 930-7397
Mailing address
4646 POPLAR AVE STE 302, MEMPHIS, TN 38117-4433
(901) 315-8625
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/27/2025
Last updated
06/24/2026
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