| Moving Forward Residential Llc | |
|
7175 State Route 104 Mc Dermott OH 45652-8888 | |
| (740) 858-6683 | |
| Not Available |
| Full Name | Moving Forward Residential Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 7175 State Route 104, Mc Dermott, Ohio |
| Authorized Official Name and Position | Michele Lawson (OWNER) |
| Authorized Official Contact | 7403571937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moving Forward Residential Llc Po Box 402 Wheelersburg OH 45694-0402 Ph: (740) 357-1937 | Moving Forward Residential Llc 7175 State Route 104 Mc Dermott OH 45652-8888 Ph: (740) 858-6683 |
| NPI Number | 1871016691 |
|---|---|
| Provider Enumeration Date | 07/24/2017 |
| Last Update Date | 12/15/2023 |
| Certification Date | 12/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871016691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
Moving Forward Residential Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9620 Careys Run Pond Creek Rd, Mc Dermott, OH 45652 Phone: 740-858-6683 |