Provider Demographics
NPI:1740095546
Name:MOVING PAST THE STORM
Entity type:Organization
Organization Name:MOVING PAST THE STORM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:GWENDOLYN
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:850-814-6030
Mailing Address - Street 1:PO BOX 208
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340-0208
Mailing Address - Country:US
Mailing Address - Phone:850-814-6030
Mailing Address - Fax:
Practice Address - Street 1:428 LONG HILL RD STE 202
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340-3811
Practice Address - Country:US
Practice Address - Phone:850-814-6030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty