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General NPI Number Information
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NPI Number | 1366356339
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Entity Type | Organization
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Legal Business Name | FORWARD HEALING THERAPY
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 8320 W BLUEMOUND RD STE 212
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City | WAUWATOSA
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State | WI
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Zip | 53213-3367
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Country | US
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Telephone | 720-441-8020
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Fax |
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Provider Business Mailing Address
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Address Line | 8331 AVON CT
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City | WAUWATOSA
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State | WI
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Zip | 53213-3303
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LILLIAN RISCH
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Credential |
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Telephone | 720-441-8020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NULL
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