Organization
MICHAEL SHIFTER LLC
Active
Other names
Forge Counseling Group
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHIFTER (OWNER / OPERATOR)
(240) 801-6463
Entity
Organization
Contact information
Practice address
6421 DREW DR, VIRGINIA BEACH, VA 23464-4641
(240) 801-6463
Mailing address
6421 DREW DR, VIRGINIA BEACH, VA 23464-4641
(240) 801-6463
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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