Provider Demographics
NPI:1346616331
Name:FORREST, RIMA
Entity Type:Individual
Prefix:
First Name:RIMA
Middle Name:
Last Name:FORREST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 783
Mailing Address - Street 2:
Mailing Address - City:FLOYD
Mailing Address - State:VA
Mailing Address - Zip Code:24091-0783
Mailing Address - Country:US
Mailing Address - Phone:540-250-8559
Mailing Address - Fax:540-745-4745
Practice Address - Street 1:721 DOBBINS FARM RD NE
Practice Address - Street 2:
Practice Address - City:FLOYD
Practice Address - State:VA
Practice Address - Zip Code:24091-2275
Practice Address - Country:US
Practice Address - Phone:540-250-8559
Practice Address - Fax:540-745-4745
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker