| Moving Forward Therapeutic Services Llc | |
|
260a Whigham Dairy Rd Bainbridge GA 39817-8032 | |
| (423) 742-1432 | |
| Not Available |
| Full Name | Moving Forward Therapeutic Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 260a Whigham Dairy Rd, Bainbridge, Georgia |
| Authorized Official Name and Position | Daniel Scott Hamilton (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 4237421432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moving Forward Therapeutic Services Llc 260a Whigham Dairy Rd Bainbridge GA 39817-8032 Ph: (423) 742-1432 | Moving Forward Therapeutic Services Llc 260a Whigham Dairy Rd Bainbridge GA 39817-8032 Ph: (423) 742-1432 |
| NPI Number | 1942037932 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 06/05/2025 |
| Certification Date | 06/05/2025 |
| Medicare PECOS PAC ID | 1456873538 |
|---|---|
| Medicare Enrollment ID | O20250318002423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942037932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Daniel Scott Hamilton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457708190 PECOS PAC ID: 2365964442 Enrollment ID: I20250318002625 |
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