Provider Demographics
NPI:1891173134
Name:MOVING FORWARD COUNSELING CENTER, PLLC
Entity Type:Organization
Organization Name:MOVING FORWARD COUNSELING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMEBER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ANTONIETA
Authorized Official - Last Name:AMAYA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:956-222-7662
Mailing Address - Street 1:15001 DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:EDCOUCH
Mailing Address - State:TX
Mailing Address - Zip Code:78538-3467
Mailing Address - Country:US
Mailing Address - Phone:956-222-7662
Mailing Address - Fax:
Practice Address - Street 1:108 N JACKSON RD STE 11
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78541-3693
Practice Address - Country:US
Practice Address - Phone:956-222-7662
Practice Address - Fax:844-270-5472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-07
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69774101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty