Organization
MOVING FORWARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN ANN THORPE MSW, LCSW, LCAC (CEO)
(219) 545-5831
Entity
Organization
Contact information
Practice address
2781 W 83RD LN, MERRILLVILLE, IN 46410-6067
(219) 545-5831
Mailing address
2781 W 83RD LN, MERRILLVILLE, IN 46410-6067
(219) 545-5831
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000416A
IN
1041C0700X
Clinical Social Worker
Primary
33005517A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300011797
—
IN
Enumeration date
01/17/2017
Last updated
01/31/2024
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