| Forward Therapy | |
|
5103 Eastman Ave Ste 179 Midland MI 48640-6725 | |
| (989) 423-0592 | |
| Not Available |
| Full Name | Forward Therapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 5103 Eastman Ave Ste 179, Midland, Michigan |
| Authorized Official Name and Position | Megan Lynn Welke (OWNER/CLINICIAN) |
| Authorized Official Contact | 9896002110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Therapy 5103 Eastman Ave Ste 179 Midland MI 48640-6725 Ph: (989) 423-0592 | Forward Therapy 5103 Eastman Ave Ste 179 Midland MI 48640-6725 Ph: (989) 423-0592 |
| NPI Number | 1699410092 |
|---|---|
| Provider Enumeration Date | 04/29/2022 |
| Last Update Date | 04/29/2022 |
| Certification Date | 04/29/2022 |
| Medicare PECOS PAC ID | 3072990324 |
|---|---|
| Medicare Enrollment ID | O20220506001960 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699410092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Megan Welke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134656069 PECOS PAC ID: 5193057271 Enrollment ID: I20191022001967 |
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