Forde, Shakirah

Forde, Shakirah is an sole proprietor health care provider with primary practice located at 1770 Indian Trail Lilburn Rd Ste 120 , Norcross GA 30093. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Forde, Shakirah can be contacted via phone (678) 888-5904.

Contact Information

Primary practice address
1770 Indian Trail Lilburn Rd Ste 120 Norcross GA 30093
Phone: (678) 888-5904
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CSW006433 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW006433 Georgia

Profile Details

NPI number 1821347154
LBN Legal business name Forde, Shakirah
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2012
Last updated Nov 21st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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