Organization
FORWARD EMOTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ANN CLAY LCPC, ATR (THERAPIST AND MANAGING MEMBER/OWNER)
(630) 999-8236
Entity
Organization
Contact information
Practice address
1440 MAPLE AVE STE 2B, LISLE, IL 60532-4136
(630) 999-8236
Mailing address
1440 MAPLE AVE STE 2B, LISLE, IL 60532-4136
(630) 999-8236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.008646
IL
101YP2500X
Professional Counselor
Primary
180.008646
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12707302
CAQH
—
Enumeration date
06/27/2018
Last updated
12/04/2020
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