Provider Demographics
NPI:1316775695
Name:FORWARD THERAPY AND CONSULTING
Entity type:Organization
Organization Name:FORWARD THERAPY AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WELKE
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:989-423-0592
Mailing Address - Street 1:5103 EASTMAN AVE STE 241
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-6797
Mailing Address - Country:US
Mailing Address - Phone:989-423-0592
Mailing Address - Fax:989-488-6141
Practice Address - Street 1:5103 EASTMAN AVE STE 241
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6797
Practice Address - Country:US
Practice Address - Phone:989-423-0592
Practice Address - Fax:989-488-6141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty