| Fall Forward | |
|
312 N Elm St Ste 115 Grand Island NE 68801-4509 | |
| (402) 481-5597 | |
| Not Available |
| Full Name | Fall Forward |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 312 N Elm St Ste 115, Grand Island, Nebraska |
| Authorized Official Name and Position | Lisa Barnes (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4024815597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fall Forward Po Box 105 Doniphan NE 68832-0105 Ph: () - | Fall Forward 312 N Elm St Ste 115 Grand Island NE 68801-4509 Ph: (402) 481-5597 |
| NPI Number | 1629695606 |
|---|---|
| Provider Enumeration Date | 06/25/2020 |
| Last Update Date | 06/25/2020 |
| Certification Date | 06/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629695606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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