Provider Demographics
NPI:1821871609
Name:FORDE, ERROL O
Entity Type:Individual
Prefix:MR
First Name:ERROL
Middle Name:O
Last Name:FORDE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 ATWOOD ST
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-3912
Mailing Address - Country:US
Mailing Address - Phone:781-332-2699
Mailing Address - Fax:
Practice Address - Street 1:6 ATWOOD ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-3912
Practice Address - Country:US
Practice Address - Phone:781-332-2699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor