Provider Demographics
NPI:1255199519
Name:MOVING FORWARD COUNSELING SERVICES LCSW PLLC
Entity type:Organization
Organization Name:MOVING FORWARD COUNSELING SERVICES LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS HAVERTY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:551-368-9530
Mailing Address - Street 1:1648 AMSTERDAM AVE UNIT 63
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-6154
Mailing Address - Country:US
Mailing Address - Phone:551-368-9530
Mailing Address - Fax:
Practice Address - Street 1:283 BERRY ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-2707
Practice Address - Country:US
Practice Address - Phone:551-368-9530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty