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General NPI Number Information
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NPI Number | 1700322559
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Entity Type | Organization
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Legal Business Name | MOVING FORWARD LLC
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Dates
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Enumeration Date | 01/17/2017
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 2781 W 83RD LN
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City | MERRILLVILLE
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State | IN
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Zip | 46410-6067
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Country | US
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Telephone | 219-545-5831
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Fax |
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Provider Business Mailing Address
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Address Line | 2781 W 83RD LN
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City | MERRILLVILLE
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State | IN
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Zip | 46410-6067
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Country | US
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Telephone | 219-545-5831
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CAROLYN ANN THORPE
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Credential | MSW, LCSW, LCAC
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Telephone | 219-545-5831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 87000416A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 33005517A
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License Number State | IN
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