Forward Momentum Counseling

NPI 1790194843 - Social Worker - 1041C0700X

NPI Details
NPI 1790194843
Enumeration Date 08/03/2014
Last Updated 11/07/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name RENEE NICOLE RENEE
Position VP LICENSED CLINICAL SOCIAL WORKER
Phone (407) 216-9032
Fax (407) 386-6766
Practice Location
1414 GAY RD
SUITE 205
WINTER PARK FL, 32789-2928, US
Phone (407) 216-9032
Fax (407) 386-6766
Business Location
1414 GAY RD
SUITE 205
WINTER PARK FL, 32789-2928, US
Phone (407) 216-9032
Fax (407) 386-6766
Toxanomy
Taxonomy Code 1041C0700X
License State Florida
License Number SW11257
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According to our database, Forward Momentum Counseling NPI is 1790194843, taxonomy code is 1041C0700X and license number is SW11257, license state is located at Florida. Forward Momentum Counseling physically located at 1414 Gay Rd, Winter Park FL, 32789-2928. NPI Number 1033115704 has the healthcare provider type.

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1790194843 NPI number is provided on an as is basis without warranty of any kind. 1790194843 is maintained by the National Plan & Provider Enumeration System. The contents of Forward Momentum Counseling are for informational purposes only.