Provider Demographics
NPI:1942636162
Name:CARLEEN M. FORBES, LMFT
Entity Type:Organization
Organization Name:CARLEEN M. FORBES, LMFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:CARLEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:FORBES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:478-972-0230
Mailing Address - Street 1:320 OAKVIEW SQ
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31093-3119
Mailing Address - Country:US
Mailing Address - Phone:478-972-0230
Mailing Address - Fax:478-328-0635
Practice Address - Street 1:320 OAKVIEW SQ
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-3119
Practice Address - Country:US
Practice Address - Phone:478-972-0230
Practice Address - Fax:478-328-0635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty