Individual ProviderCrystal ForbesCounselorBehavioral Health & Social Service ProvidersPractice Address2881 San Lorenzo Ct, Las Cruces, NM 88007-1969(575) 520-5205(575) 339-5534PECOS EnrollmentBased on the most recent information from CMS, provider Crystal Forbes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1417482860Provider TypeIndividualFull NameForbes, CrystalCredentialLPCCGenderFemaleSole ProprietorNoEnumeration Date4/24/2017Last Updated3/22/2023Contact InformationPractice LocationPractice Address2881 San Lorenzo Ct, Las Cruces, NM 88007-1969Phone(575) 520-5205FaxUnlisted FaxMailing LocationMailing AddressPO Box 1050, Fairacres, NM 88033-1050Phone(575) 339-5534FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCCMH0201851New MexicoCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0184801New MexicoProvider IdentifiersIDDescriptionIssuerID24152226DescriptionMedicaidIssuerUnlistedNew Mexico