Emmoune Denise Forest

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT013762 Issued in GA

Practice address

3802 N Druid Hills Rd
Decatur, GA 30033-3015

Phone

(404) 486-9644

NPI assigned

Feb 1, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthspring Holistic Center, PC

  • Chiropractor
  • Decatur, GA
  • NPI 1790015006
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1063165918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 ROCK VALLEY DR",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971580",
            "telephone_number": "678-699-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 N DRUID HILLS RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333015",
            "telephone_number": "404-486-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREST",
        "first_name": "EMMOUNE",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT013762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A. Ford, LCSW
• Laquanta Ford, LCSW
• Lasonya Renise Ford, PHARM.D., BCACP
• Sandra Elizabeth Ford, MD
• Foresight Mental Health Group PLLC
• Forever Care Inc
• Brenda Louise Fort, N.P.
• Deanna Fort, LMSW
• Beverly Cathene Foster, P.A.
• Chantal Foster

• Massage Therapist in Decatur, GA
• Providers in Decatur, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.