Carolyn Ashley Crews Forden, M.S., LMFT

Individual provider Active NPI Marriage & Family Therapist · Saint Louis, MO

NPI 1093216889 · NPPES record last updated Nov 17, 2025

Key facts

NPI
1093216889
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFT00186 (RI)
Practice address
3618 Childress Ave
Saint Louis, MO 63109-1308
Phone
(401) 400-2384
Fax
(401) 414-0188
NPI assigned
Feb 27, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFT00186RIMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT00186 RI Yes

Addresses

Primary practice location

3618 Childress Ave
Saint Louis, MO 63109-1308

Mailing address

3618 Childress Ave
Saint Louis, MO 63109-1308
Phone (401) 400-2384

Other providers in Saint Louis, MO

All providers in Saint Louis, MO · Marriage & Family Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.