MEDICARE: WAY FORWARD COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1588411136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAY FORWARD COUNSELING LLC

Provider Business Mailing Address
First Line	:	3270 SUNTREE BLVD STE 125
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32940-7540
Country	:	US
Telephone Number	:	321-207-6181
Fax Number	:

Provider Business Practice Location Address
First Line	:	1317 EDGEWATER DR STE 7030
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-6350
Country	:	US
Telephone Number	:	321-591-8795
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JESSICA HOUTS
Credential	:	LCSW
Telephone Number	:	321-591-8795

Provider Enumeration Date	:	05/02/2024
Last Update Date	:	05/11/2026

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Directions to “WAY FORWARD COUNSELING LLC ” Practice Location

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