Provider Demographics
NPI:1679934186
Name:FORRO, JAMES L (LMHC, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:L
Last Name:FORRO
Suffix:
Gender:M
Credentials:LMHC, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:677 W END AVE
Mailing Address - Street 2:APT. 2A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-7321
Mailing Address - Country:US
Mailing Address - Phone:480-662-8909
Mailing Address - Fax:
Practice Address - Street 1:677 W END AVE
Practice Address - Street 2:APT. 2A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-7321
Practice Address - Country:US
Practice Address - Phone:480-662-8909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3690101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health