Provider Demographics
NPI:1144196221
Name:FORGE POINT THERAPEUTIC SERVICES, PLLC
Entity type:Organization
Organization Name:FORGE POINT THERAPEUTIC SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:AMOS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MHSP CFMHE
Authorized Official - Phone:865-309-4001
Mailing Address - Street 1:2178 LITTLE VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-7633
Mailing Address - Country:US
Mailing Address - Phone:865-309-4001
Mailing Address - Fax:
Practice Address - Street 1:408 HIGH ST
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-3817
Practice Address - Country:US
Practice Address - Phone:865-309-4001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)