Moving Forward Psychological Institute, Llc | |
17150 Newhope St Ste 205 Fountain Valley CA 92708-4250 | |
(949) 431-6374 | |
Not Available |
Full Name | Moving Forward Psychological Institute, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 17150 Newhope St Ste 205, Fountain Valley, California |
Authorized Official Name and Position | Paul Hoang (CEO) |
Authorized Official Contact | 9494316374 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Moving Forward Psychological Institute, Llc 16458 Bolsa Chica St # 545 Huntington Beach CA 92649-2603 Ph: (949) 431-6374 | Moving Forward Psychological Institute, Llc 17150 Newhope St Ste 205 Fountain Valley CA 92708-4250 Ph: (949) 431-6374 |
NPI Number | 1861867400 |
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Provider Enumeration Date | 12/08/2015 |
Last Update Date | 09/18/2024 |
Certification Date | 09/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861867400 | NPI | - | NPPES |
815428 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | 28713 (California) | Primary |
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