Provider Demographics
NPI:1275151912
Name:INGER DANIELS APRN
Entity Type:Organization
Organization Name:INGER DANIELS APRN
Other - Org Name:MOVING FORWARD PSYCHIATRIC AND MENTAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:INGER
Authorized Official - Middle Name:T
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:832-305-6213
Mailing Address - Street 1:5826 NEW TERRITORY BLVD # 1046
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5948
Mailing Address - Country:US
Mailing Address - Phone:832-305-6213
Mailing Address - Fax:
Practice Address - Street 1:1937 TEXAS PKWY STE A
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-3121
Practice Address - Country:US
Practice Address - Phone:832-305-6213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)