Provider Demographics
NPI:1285888073
Name:FORTE, ADRIA PRATT (LMHC)
Entity type:Individual
Prefix:
First Name:ADRIA
Middle Name:PRATT
Last Name:FORTE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4320 DEERWOOD LAKE PKWY STE 101-244
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-1177
Mailing Address - Country:US
Mailing Address - Phone:904-716-6184
Mailing Address - Fax:
Practice Address - Street 1:6316 SAN JUAN AVE
Practice Address - Street 2:SUITE 41
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-2831
Practice Address - Country:US
Practice Address - Phone:904-783-2579
Practice Address - Fax:904-225-1901
Is Sole Proprietor?:No
Enumeration Date:2008-11-06
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 10386101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor