Provider Demographics
NPI:1962180752
Name:TIMMONS, FORREST LEE (LPC)
Entity type:Individual
Prefix:
First Name:FORREST
Middle Name:LEE
Last Name:TIMMONS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6841 VIRGINIA PARKWAY
Mailing Address - Street 2:STE 103, BOX 201
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5716
Mailing Address - Country:US
Mailing Address - Phone:281-560-3467
Mailing Address - Fax:
Practice Address - Street 1:417 BLUE SPRING DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-9312
Practice Address - Country:US
Practice Address - Phone:254-366-6683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82990101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health