| Forward Motion Psychological | |
|
225 Creekstone Rdg Ste 22 Woodstock GA 30188-3744 | |
| (770) 765-2990 | |
| (770) 234-6853 |
| Full Name | Forward Motion Psychological |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 225 Creekstone Rdg Ste 22, Woodstock, Georgia |
| Authorized Official Name and Position | Meredith Burns (PRESIDENT) |
| Authorized Official Contact | 7707652990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Motion Psychological 225 Creekstone Rdg Ste 22 Woodstock GA 30188-3744 Ph: (770) 765-2990 | Forward Motion Psychological 225 Creekstone Rdg Ste 22 Woodstock GA 30188-3744 Ph: (770) 765-2990 |
| NPI Number | 1184753840 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 09/16/2021 |
| Certification Date | 09/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184753840 | NPI | - | NPPES |
| 1184753840 | Other | GA | NPI (GROUP) |
| 1952568396 | Other | GA | NPI (INDIVIDUAL) |
| 461532546D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY002186 (Georgia) | Primary |
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