Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 2296 | LA |
N | 101YP2500X | Professional Counselor | 2296 | LA |
N | 101YS0200X | School Counselor | 56700 |
NPI | 1083638852 |
---|---|
Provider Name | Ms. Annie G. Forsyth |
First Address | New Orleans, LA 70131-7242 |
Second Address | Metairie, LA 70005-3782 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 08/04/2021 |