Provider Demographics
NPI:1114728938
Name:MOVING FORWARD THERAPY SERVICES LLC
Entity type:Organization
Organization Name:MOVING FORWARD THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:THOMSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP
Authorized Official - Phone:402-933-8998
Mailing Address - Street 1:11060 OAK ST STE 2
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-4242
Mailing Address - Country:US
Mailing Address - Phone:402-933-8998
Mailing Address - Fax:402-933-9091
Practice Address - Street 1:11060 OAK ST STE 2
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4242
Practice Address - Country:US
Practice Address - Phone:402-933-8998
Practice Address - Fax:402-933-9091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty