Healthcare Provider Details

I. General information

NPI: 1831054964
Provider Name (Legal Business Name): MOVIN FORWARD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10206 ENGLAND AVE STE 6
INGLEWOOD CA
90303-1345
US

IV. Provider business mailing address

10206 ENGLAND AVE STE 6
INGLEWOOD CA
90303-1345
US

V. Phone/Fax

Practice location:
  • Phone: 323-400-8867
  • Fax:
Mailing address:
  • Phone: 323-400-8867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: WANDA BREWER
Title or Position: CEO
Credential:
Phone: 323-400-8867