MEDICARE: BRITTANY FORBES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	101YM0800X	Mental Health Counselor	GA
2	106S00000X	Behavior Technician	GA
3	101Y00000X	Counselor	GA

General Provider Information

NPI Number	:	1649853433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY FORBES

Provider Business Mailing Address
First Line	:	108 PARKWOOD DR
Second Line	:
City	:	STOCKBRIDGE
State	:	GA
Zip	:	30281-3437
Country	:	US
Telephone Number	:	267-979-9280
Fax Number	:

Provider Business Practice Location Address
First Line	:	576 SIGMAN RD NE
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-1326
Country	:	US
Telephone Number	:	402-252-1363
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2021
Last Update Date	:	10/07/2025

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Directions to “ BRITTANY FORBES ” Practice Location

Language	Start Address	Practice Location

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