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NPI Code Detail

MEDICARE: MOVING FORWARD COUNSELING

MEDICARE: MOVING FORWARD COUNSELING
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
1251S00000XCommunity/Behavioral Health Agency
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
3101YM0800XMental Health Counselor
4261QR0401XComprehensive Outpatient Rehabilitation Facility (CORF)
5261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
6364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist
7261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1811526122
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOVING FORWARD COUNSELING
Provider Business Mailing Address
First Line : 9844 S 1300 E STE 250
Second Line :
City : SANDY
State : UT
Zip : 84094-4691
Country : US
Telephone Number : 801-810-5037
Fax Number : 801-609-3649
Provider Business Practice Location Address
First Line : 9844 S 1300 E STE 250
Second Line :
City : SANDY
State : UT
Zip : 84094-4691
Country : US
Telephone Number : 801-810-5037
Fax Number : 801-609-3649
Authorized Official
Title or Position : OWNER
Name : JASON ROBERT WAGNER
Credential : CMHC
Telephone Number : 801-243-2928
Provider Enumeration Date : 04/07/2020
Last Update Date : 12/10/2024

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Directions to “MOVING FORWARD COUNSELING ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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