Provider Demographics
NPI:1811226723
Name:MOVING FORWARD
Entity Type:Organization
Organization Name:MOVING FORWARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-669-6283
Mailing Address - Street 1:1400 BATTLEGROUND AVE.
Mailing Address - Street 2:STE. 150-F
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-8044
Mailing Address - Country:US
Mailing Address - Phone:336-669-6283
Mailing Address - Fax:336-698-3849
Practice Address - Street 1:1146 N. CHURCH ST.
Practice Address - Street 2:STE. A
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217
Practice Address - Country:US
Practice Address - Phone:336-669-6283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-24
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP-004540251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health