Provider Demographics
NPI:1275089344
Name:FORBES, DEDRA M (EDD, CCBT, MS/MA)
Entity type:Individual
Prefix:DR
First Name:DEDRA
Middle Name:M
Last Name:FORBES
Suffix:
Gender:F
Credentials:EDD, CCBT, MS/MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 FARM LN
Mailing Address - Street 2:
Mailing Address - City:MILLS RIVER
Mailing Address - State:NC
Mailing Address - Zip Code:28759-4642
Mailing Address - Country:US
Mailing Address - Phone:646-652-9423
Mailing Address - Fax:
Practice Address - Street 1:85 FARM LN
Practice Address - Street 2:
Practice Address - City:MILLS RIVER
Practice Address - State:NC
Practice Address - Zip Code:28759-4642
Practice Address - Country:US
Practice Address - Phone:646-652-9423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-29
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101Y00000XBehavioral Health & Social Service ProvidersCounselor