Organization
FORWARD MOMENTUM COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE NICOLE TREVIRANUS LCSW (VP LICENSED CLINICAL SOCIAL WORKER)
(407) 216-9032
Entity
Organization
Contact information
Practice address
1414 GAY RD, SUITE 205, WINTER PARK, FL 32789-2928
(407) 216-9032
(407) 386-6766
Mailing address
1414 GAY RD, SUITE 205, WINTER PARK, FL 32789-2928
(407) 216-9032
(407) 386-6766
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW11257
FL
Other
Enumeration date
08/03/2014
Last updated
11/07/2015
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