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NPI 1992589816

NPI 1992589816 : MOVING FORWARD THERAPY AND COACHING : NORTH BETHESDA, MD

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General NPI Number Information
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    NPI Number           |    1992589816
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    Entity Type          |    Organization 
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    Legal Business Name  |    MOVING FORWARD THERAPY AND COACHING 
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Dates
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    Enumeration Date     |    08/22/2023
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    Last Update Date     |    07/31/2025
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Provider Practice Location Address
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    Address Line         |    6238 MONTROSE RD 
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    City                 |    NORTH BETHESDA
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    State                |    MD
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    Zip                  |    20852-4119
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    Country              |    US
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    Telephone            |    240-286-5486
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3102 FAIRWEATHER CT 
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    City                 |    OLNEY
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    State                |    MD
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    Zip                  |    20832-3021
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    Country              |    US
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    Telephone            |    240-286-5486
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     VIVIAN  LEVI 
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    Credential           |    LCPC
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    Telephone            |    240-286-5486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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