Provider Demographics
NPI:1508287962
Name:FORSCHLER, MELISSA (LMFT)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:FORSCHLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 SHADOW LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ARNOLDSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30619-1553
Mailing Address - Country:US
Mailing Address - Phone:706-410-8723
Mailing Address - Fax:
Practice Address - Street 1:2085 S MILLEDGE AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-1655
Practice Address - Country:US
Practice Address - Phone:706-369-6363
Practice Address - Fax:706-369-6239
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-02
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001319106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist