Healthcare Provider Details

I. General information

NPI: 1871294041
Provider Name (Legal Business Name): FINDING FORWARD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2023
Last Update Date: 03/15/2023
Certification Date: 03/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3736 RICHARD AVE
FAIRFAX VA
22031-3535
US

IV. Provider business mailing address

3736 RICHARD AVE
FAIRFAX VA
22031-3535
US

V. Phone/Fax

Practice location:
  • Phone: 315-515-1545
  • Fax:
Mailing address:
  • Phone: 315-515-1545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: KEVIN JOSEPH ROCHE
Title or Position: OWNER/LPC
Credential: LPC
Phone: 315-515-1545