| Forward Healing Pllc | |
|
6900 W I 40 Ste 304b Amarillo TX 79106-2539 | |
| (806) 910-8090 | |
| (806) 410-2890 |
| Full Name | Forward Healing Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 6900 W I 40 Ste 304b, Amarillo, Texas |
| Authorized Official Name and Position | Jonathon Michael Elmquist (MANAGING MEMBER) |
| Authorized Official Contact | 8069108090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Healing Pllc 9301 Highland Springs Dr Amarillo TX 79119-7952 Ph: (806) 626-1717 | Forward Healing Pllc 6900 W I 40 Ste 304b Amarillo TX 79106-2539 Ph: (806) 910-8090 |
| NPI Number | 1205570280 |
|---|---|
| Provider Enumeration Date | 04/25/2022 |
| Last Update Date | 07/10/2022 |
| Certification Date | 07/10/2022 |
| Medicare PECOS PAC ID | 6002294600 |
|---|---|
| Medicare Enrollment ID | O20220610001385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205570280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jonathon Michael Elmquist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801537121 PECOS PAC ID: 7810375417 Enrollment ID: I20220610001483 |
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