Provider Demographics
NPI:1083638852
Name:FORSYTH, ANNIE G (LMFT, LPC)
Entity Type:Individual
Prefix:MS
First Name:ANNIE
Middle Name:G
Last Name:FORSYTH
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5341 CARLISLE CT
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-7242
Mailing Address - Country:US
Mailing Address - Phone:504-442-1594
Mailing Address - Fax:
Practice Address - Street 1:300 CODIFER BLVD STE C
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-3782
Practice Address - Country:US
Practice Address - Phone:504-313-8601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2296101YP2500X, 101YM0800X
56700101YS0200X
LA0341106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist