| Moving Forward Psychological Institute, Llc | |
|
17150 Newhope St Ste 507 Fountain Valley CA 92708-4253 | |
| (949) 431-6374 | |
| Not Available |
| Full Name | Moving Forward Psychological Institute, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17150 Newhope St Ste 507, Fountain Valley, California |
| Authorized Official Name and Position | Paul Hoang (CEO) |
| Authorized Official Contact | 9494316374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moving Forward Psychological Institute, Llc 17150 Newhope St Ste 507 Fountain Valley CA 92708-4253 Ph: (949) 431-6374 | Moving Forward Psychological Institute, Llc 17150 Newhope St Ste 507 Fountain Valley CA 92708-4253 Ph: (949) 431-6374 |
| NPI Number | 1861867400 |
|---|---|
| Provider Enumeration Date | 12/08/2015 |
| Last Update Date | 07/29/2025 |
| Certification Date | 07/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861867400 | NPI | - | NPPES |
| 815428 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | 28713 (California) | Primary |
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