| Doctor Name: | MICHAEL S FORREST |
| NPI Number: | 1003191438 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | C007384 |
| Business Practice Address: | 725 N. Highland Ave 2nd Floor Winston Salem, NC - 271014206 |
| Business Phone Number: | 3366078501 |
| Business Fax Number: | 3367254030 |
| Mailing Address: | 3210 Fairhill Dr, RALEIGH |
| State: | NC |
| Postal Code: | 276123215 |
| Phone Number: | 9192560824 |
| Fax Number: | 9192560833 |
| NPI Enumeration Date: | 10/17/2011 |
| NPI Last Update Date: | 10/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | C007384 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |