| Forward Journey Therapy Llc | |
|
3630 Sinton Rd Ste 320 Colorado Springs CO 80907-5070 | |
| (719) 360-9045 | |
| Not Available |
| Full Name | Forward Journey Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3630 Sinton Rd Ste 320, Colorado Springs, Colorado |
| Authorized Official Name and Position | Lindy Kay Wetzel (OWNER) |
| Authorized Official Contact | 7193609045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Journey Therapy Llc 832 E Kiowa St Apt 1 Colorado Springs CO 80903-3590 Ph: (719) 650-5374 | Forward Journey Therapy Llc 3630 Sinton Rd Ste 320 Colorado Springs CO 80907-5070 Ph: (719) 360-9045 |
| NPI Number | 1396487559 |
|---|---|
| Provider Enumeration Date | 04/08/2022 |
| Last Update Date | 04/08/2022 |
| Certification Date | 04/08/2022 |
| Medicare PECOS PAC ID | 0648617118 |
|---|---|
| Medicare Enrollment ID | O20240319003681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396487559 | NPI | - | NPPES |
| 9000181542 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lindy Kay Wetzel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487286670 PECOS PAC ID: 6204206774 Enrollment ID: I20221227000522 |
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