| Forward In Life Llc | |
|
1610 W Seldon Ln Phoenix AZ 85021-4351 | |
| (480) 404-4159 | |
| Not Available |
| Full Name | Forward In Life Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1610 W Seldon Ln, Phoenix, Arizona |
| Authorized Official Name and Position | Melissa Little (OWNER) |
| Authorized Official Contact | 4804044159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward In Life Llc 8402 N 33rd Dr Phoenix AZ 85051-5916 Ph: (480) 404-4159 | Forward In Life Llc 1610 W Seldon Ln Phoenix AZ 85021-4351 Ph: (480) 404-4159 |
| NPI Number | 1104504836 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104504836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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