Provider Demographics
NPI:1215553599
Name:SPRING FORTH COUNSELING
Entity Type:Organization
Organization Name:SPRING FORTH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:YUNETTA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MHSP
Authorized Official - Phone:931-338-8882
Mailing Address - Street 1:2515 WILMA RUDOLPH BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-5824
Mailing Address - Country:US
Mailing Address - Phone:931-338-8882
Mailing Address - Fax:888-974-3396
Practice Address - Street 1:2515 WILMA RUDOLPH BLVD STE 107
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-5824
Practice Address - Country:US
Practice Address - Phone:931-338-8882
Practice Address - Fax:888-974-3396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty