Healthcare Provider Details

I. General information

NPI: 1073436713
Provider Name (Legal Business Name): FORWARDMIND WELLNESS GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7895 S DAYTON ST 280
CENTENNIAL CO
80112-4972
US

IV. Provider business mailing address

PO BOX 470171
AURORA CO
80047-0171
US

V. Phone/Fax

Practice location:
  • Phone: 719-650-5548
  • Fax:
Mailing address:
  • Phone: 719-455-5817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DOMINICA NEL FRANCESCA REINHARD
Title or Position: CLINICAL DIRECTOR/OWNER
Credential: LCSW, LAC
Phone: 719-650-5548