Provider Demographics
NPI:1609444884
Name:FORGE COUNSELING
Entity Type:Organization
Organization Name:FORGE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT-PARDINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-298-1729
Mailing Address - Street 1:2618 BATTLEGROUND AVE STE A-311
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-1924
Mailing Address - Country:US
Mailing Address - Phone:336-298-1729
Mailing Address - Fax:
Practice Address - Street 1:2618 BATTLEGROUND AVE STE A-311
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-1924
Practice Address - Country:US
Practice Address - Phone:336-298-1729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty