| Emily Jeanne Fornwalt, LCMHC-S | |
| 
					614 W Pine St, Johnson City, TN 37604-6608  | |
| (423) 281-4089 | |
| Not Available | 
| Full Name | Emily Jeanne Fornwalt | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 614 W Pine St, Johnson City, Tennessee | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083745434 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | S6459 (North Carolina) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Emily Jeanne Fornwalt, LCMHC-S 614 W Pine St, Johnson City, TN 37604-6608 Ph: (423) 281-4089  | Emily Jeanne Fornwalt, LCMHC-S 614 W Pine St, Johnson City, TN 37604-6608 Ph: (423) 281-4089  | 
Mrs. Vicki Marie Britton, B.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601 Phone: 423-283-6556 Fax: 423-283-6550  | |
Hayley Christian Henderson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 West Watauga Avenue, Watauga C&y, Johnson City, TN 37604 Phone: 423-232-2600 Fax: 423-467-3644  | |
Matthew M Midkiff, LPC, MHSP Counselor Medicare: Medicare Enrolled Practice Location: 109 W Watauga Ave, Johnson City, TN 37604 Phone: 423-232-2600 Fax: 423-467-3644  | |
Neil Stoltzfus,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 W Oakland Ave Ste 202, Johnson City, TN 37604 Phone: 423-850-1150  | |
Michael Arthur Benoit,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601 Phone: 423-283-6500 Fax: 423-283-6550  | |
Dr. Nicholas Porta, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2514 1/2 Wesley St Ste 2, Johnson City, TN 37601 Phone: 423-529-0385 Fax: 423-414-2699  | |
Jessica Cabe, LPC-MHSP Counselor Medicare: Medicare Enrolled Practice Location: 3114 Browns Mill Rd, Johnson City, TN 37604 Phone: 423-631-0432  |