Organization
CHANGING FORWARD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AURELIA ETKA BICKLER PHD, LMFT (PRESIDENT, PSYCHOTHERAPIST)
(954) 684-6220
Entity
Organization
Contact information
Practice address
1040 BAYVIEW DR STE 110, FORT LAUDERDALE, FL 33304-2532
(954) 800-0818
(954) 800-0910
Mailing address
1040 BAYVIEW DR STE 110, FORT LAUDERDALE, FL 33304-2532
(954) 800-0818
(954) 800-0910
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MT25589
FL
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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