Healthcare Provider Details

I. General information

NPI: 1255199519
Provider Name (Legal Business Name): MOVING FORWARD COUNSELING SERVICES LCSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2024
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

283 BERRY ST
HACKENSACK NJ
07601-2707
US

IV. Provider business mailing address

283 BERRY ST
HACKENSACK NJ
07601-2707
US

V. Phone/Fax

Practice location:
  • Phone: 551-368-9530
  • Fax:
Mailing address:
  • Phone: 551-368-9530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. TONI WILLIAMS HAVERTY
Title or Position: OWNER
Credential: LCSW
Phone: 551-368-9530