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NPI Code Detail

MEDICARE: FORWARD MOVING COUNSELING SERVICES, LLC

MEDICARE: FORWARD MOVING COUNSELING SERVICES, 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
1101YP2500XProfessional Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11184978561OTHERLANPI FOR MENTAL HEALTH SERVICES

General Provider Information

NPI Number : 1669062733
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORWARD MOVING COUNSELING SERVICES, LLC
Provider Business Mailing Address
First Line : 2435 DRUSILLA LN STE F
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-1444
Country : US
Telephone Number : 225-508-3253
Fax Number : 225-427-8715
Provider Business Practice Location Address
First Line : 2435 DRUSILLA LN STE F
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-1444
Country : US
Telephone Number : 225-508-3253
Fax Number : 225-427-8715
Authorized Official
Title or Position : OWNER/LEAD CLINICIAN
Name : VIVECA L JOHNSON
Credential :
Telephone Number : 225-508-3253
Provider Enumeration Date : 01/22/2021
Last Update Date : 01/22/2021

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Directions to “FORWARD MOVING COUNSELING SERVICES, LLC ” Practice Location

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