Renonda Michelle Forney
Counselor, Professional in Lagrange, GA. Individual provider (NPI-1).
NPI number1023744992
StatusActive
Last updated in NPPESJul 25, 2022
Details
- NPI
- 1023744992
- Entity type
- Individual (NPI-1)
- Name
- Renonda Michelle Forney
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 25, 2022
- Certification date
- Jul 25, 2022
- Last updated
- Jul 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | APC008600 | GA | Yes |
Practice location
2233 W Point RdLagrange, GA 30240-4061
Phone 706-837-0045 · Fax 706-837-0035
Mailing address
2233 W Point RdLagrange, GA 30240-4061
Phone 706-837-0045
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