Provider Demographics
NPI:1659090405
Name:FORBES, MELANY (T-LMFT)
Entity Type:Individual
Prefix:
First Name:MELANY
Middle Name:
Last Name:FORBES
Suffix:
Gender:F
Credentials:T-LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6250 31ST AVE
Mailing Address - Street 2:
Mailing Address - City:SHELLSBURG
Mailing Address - State:IA
Mailing Address - Zip Code:52332-4709
Mailing Address - Country:US
Mailing Address - Phone:515-491-3316
Mailing Address - Fax:
Practice Address - Street 1:373 COLLINS RD NE STE 205
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-3167
Practice Address - Country:US
Practice Address - Phone:319-320-7506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA107756106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist