CHANGING FORWARD LLC NPI 1992212328

NPI Information

NPI: 1992212328
Provider Name: CHANGING FORWARD, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1040 BAYVIEW DR STE 110
FORT LAUDERDALE, FL
ZIP 33304
Phone: (954) 800-0818
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CHANGING FORWARD, LLC is a mental health counselor in Fort Lauderdale, FL. CHANGING FORWARD, LLC NPI is 1992212328. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1040 BAYVIEW DR STE 110
FORT LAUDERDALE, FL
ZIP 33304-532
Phone: (954) 800-0818
Fax: (954) 800-0910

The provider's authorized official is Aurelia Etka Bickler .
The authorized official title is President, Psychotherapist and has the following contact phone number (954) 684-6220.

The enumeration date for this NPI number is 1/8/2018 and was last updated on 1/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MT25589	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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