Provider Demographics
NPI:1942665419
Name:BEHAVIORAL RESOURCE & COUNSELING
Entity Type:Organization
Organization Name:BEHAVIORAL RESOURCE & COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:FORSYTHE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMHC
Authorized Official - Phone:352-624-3307
Mailing Address - Street 1:4091 NE 28TH CT
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34479-2171
Mailing Address - Country:US
Mailing Address - Phone:352-624-3307
Mailing Address - Fax:
Practice Address - Street 1:1541 NE 22ND AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-4761
Practice Address - Country:US
Practice Address - Phone:352-624-3307
Practice Address - Fax:352-622-1017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-28
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty