| Forward Momentum Therapeutic Solutions, Pllc | |
|
116 W Church St Creedmoor NC 27522-9747 | |
| (252) 425-7527 | |
| Not Available |
| Full Name | Forward Momentum Therapeutic Solutions, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 116 W Church St, Creedmoor, North Carolina |
| Authorized Official Name and Position | Elaina Rashid Terry (OWNER) |
| Authorized Official Contact | 2524257527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Momentum Therapeutic Solutions, Pllc 2227 Bayswater Dr Creedmoor NC 27522-7837 Ph: (252) 425-7527 | Forward Momentum Therapeutic Solutions, Pllc 116 W Church St Creedmoor NC 27522-9747 Ph: (252) 425-7527 |
| NPI Number | 1578293361 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 06/15/2022 |
| Certification Date | 06/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578293361 | NPI | - | NPPES |
| 1083048524 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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