MEDICARE: FORBES GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1346070943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORBES GROUP LLC

Provider Business Mailing Address
First Line	:	450 JACKSON ST # 2352
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-6783
Country	:	US
Telephone Number	:	812-341-0109
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 JACKSON ST # 2352
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-6783
Country	:	US
Telephone Number	:	812-341-0109
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	ELIZABETH ANNE FORBES
Credential	:	LCSW
Telephone Number	:	812-341-0109

Provider Enumeration Date	:	08/07/2024
Last Update Date	:	08/15/2024

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Directions to “FORBES GROUP LLC ” Practice Location

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