Moving Forward Llc | |
2781 W 83rd Ln Merrillville IN 46410-6067 | |
(219) 545-5831 | |
Not Available |
Full Name | Moving Forward Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 2781 W 83rd Ln, Merrillville, Indiana |
Authorized Official Name and Position | Carolyn Ann Thorpe (CEO) |
Authorized Official Contact | 2195455831 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Moving Forward Llc 2781 W 83rd Ln Merrillville IN 46410-6067 Ph: (219) 545-5831 | Moving Forward Llc 2781 W 83rd Ln Merrillville IN 46410-6067 Ph: (219) 545-5831 |
NPI Number | 1700322559 |
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Provider Enumeration Date | 01/17/2017 |
Last Update Date | 01/31/2024 |
Certification Date | 01/31/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700322559 | NPI | - | NPPES |
300011797 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000416A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 33005517A (Indiana) | Primary |
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