Provider Demographics
NPI:1356073423
Name:FORTE, DENISHA LADAWN
Entity type:Individual
Prefix:
First Name:DENISHA
Middle Name:LADAWN
Last Name:FORTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2113 HARWOOD ROAD STE. 309
Mailing Address - Street 2:#1018
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021
Mailing Address - Country:US
Mailing Address - Phone:972-920-6892
Mailing Address - Fax:
Practice Address - Street 1:2113 HARWOOD ROAD STE. 309
Practice Address - Street 2:#1018
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021
Practice Address - Country:US
Practice Address - Phone:469-471-3294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2025-01-09
Deactivation Date:2022-10-04
Deactivation Code:
Reactivation Date:2024-03-26
Provider Licenses
StateLicense IDTaxonomies
TX88803101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional