Provider Demographics
NPI:1881353589
Name:MOVING FORWARD HOME ENTERPRISE
Entity type:Organization
Organization Name:MOVING FORWARD HOME ENTERPRISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:III
Authorized Official - Credentials:MA
Authorized Official - Phone:504-312-3826
Mailing Address - Street 1:1525 AVIATION BLVD # 504
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-2805
Mailing Address - Country:US
Mailing Address - Phone:504-312-3826
Mailing Address - Fax:
Practice Address - Street 1:1 LMU DR
Practice Address - Street 2:MSB 12029
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045
Practice Address - Country:US
Practice Address - Phone:504-312-3826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty