Healthcare Provider Details

I. General information

NPI: 1538914585
Provider Name (Legal Business Name): FORBS BEHAVIORAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2024
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 W FRANKLIN ST STE 201
HAGERSTOWN MD
21740-4863
US

IV. Provider business mailing address

5504 TRACEY BRUCE DR
ADAMSTOWN MD
21710-8914
US

V. Phone/Fax

Practice location:
  • Phone: 240-961-1019
  • Fax:
Mailing address:
  • Phone: 240-961-1019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ATEMNKENG C ATANGA
Title or Position: PRESIDENT
Credential: PMHNP
Phone: 240-961-1019