Organization
FORSYTH INTERVENTION SERVICES AND TRAINING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY SCOTT BERT LPC (THERAPIST)
(470) 236-3478
Entity
Organization
Contact information
Practice address
32 E MAIN ST, FORSYTH, GA 31029-1839
(470) 236-3478
Mailing address
32 E MAIN ST, FORSYTH, GA 31029-1839
(470) 236-3478
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC008838
GA
101YM0800X
Mental Health Counselor
LPC008838
GA
101YP2500X
Professional Counselor
Primary
LPC008838
GA
101YS0200X
School Counselor
LPC008838
GA
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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