| Forward Emotion, Llc | |
|
1440 Maple Ave Ste 2b Lisle IL 60532-4136 | |
| (630) 999-8236 | |
| Not Available |
| Full Name | Forward Emotion, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1440 Maple Ave Ste 2b, Lisle, Illinois |
| Authorized Official Name and Position | Laura Ann Clay (THERAPIST AND MANAGING MEMBER/OWNER) |
| Authorized Official Contact | 6309998236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Emotion, Llc 1440 Maple Ave Ste 2b Lisle IL 60532-4136 Ph: (630) 999-8236 | Forward Emotion, Llc 1440 Maple Ave Ste 2b Lisle IL 60532-4136 Ph: (630) 999-8236 |
| NPI Number | 1336634856 |
|---|---|
| Provider Enumeration Date | 06/27/2018 |
| Last Update Date | 12/04/2020 |
| Certification Date | 12/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336634856 | NPI | - | NPPES |
| 12707302 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180.008646 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 180.008646 (Illinois) | Primary |
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