Provider Demographics
NPI:1629748892
Name:FAMILY FORWARD THERAPY
Entity Type:Organization
Organization Name:FAMILY FORWARD THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:775-287-8135
Mailing Address - Street 1:325 E LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-2212
Mailing Address - Country:US
Mailing Address - Phone:775-525-1584
Mailing Address - Fax:
Practice Address - Street 1:325 E LIBERTY ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-2212
Practice Address - Country:US
Practice Address - Phone:775-525-1584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-17
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health