Provider Demographics
NPI:1639898612
Name:FORBES, PALMARE ANDRIA (SCHOOL COUNSELOR)
Entity Type:Individual
Prefix:MRS
First Name:PALMARE
Middle Name:ANDRIA
Last Name:FORBES
Suffix:
Gender:F
Credentials:SCHOOL COUNSELOR
Other - Prefix:MRS
Other - First Name:PALMARE
Other - Middle Name:ANDRIA
Other - Last Name:GORDON-FORBES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COUNSELOR
Mailing Address - Street 1:504 PELHAM RD APT A3
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-1848
Mailing Address - Country:US
Mailing Address - Phone:914-323-8840
Mailing Address - Fax:
Practice Address - Street 1:504 PELHAM RD APT A3
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805-1848
Practice Address - Country:US
Practice Address - Phone:914-745-7836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-24
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NY927121991101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health