| Forward Therapeutics Llc | |
|
118 W 1st St Ste 308 Dayton OH 45402-1150 | |
| (937) 443-7659 | |
| (855) 978-1771 |
| Full Name | Forward Therapeutics Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 118 W 1st St Ste 308, Dayton, Ohio |
| Authorized Official Name and Position | Chuckeia Folley (OWNER) |
| Authorized Official Contact | 9373674614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Therapeutics Llc 118 W 1st St Ste 308 Dayton OH 45402-1150 Ph: (937) 443-7659 | Forward Therapeutics Llc 118 W 1st St Ste 308 Dayton OH 45402-1150 Ph: (937) 443-7659 |
| NPI Number | 1053981605 |
|---|---|
| Provider Enumeration Date | 06/27/2021 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053981605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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