NPIMap

Organization Active NPI

Moving Forward Life Services

  • Counselor
  • Tucker, GA
National Provider Identifier
1932448677
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
MOVING FORWARD LIFE SERVICES
Practice address
2362 Main St
Suite B
Tucker, GA 30084-4477
Phone
(678) 634-7594
NPI assigned
Jan 31, 2013
Last updated
Feb 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Yolanda Anderson
Title
Ceo
Phone
(678) 634-7594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

2362 Main St
Suite B
Tucker, GA 30084-4477

Mailing address

2362 Main St
Suite B
Tucker, GA 30084-4477

National Provider Directory

National Provider Directory

Locations

2362 Main St
#B
Tucker, GA 30084
Phone (678) 634-7594

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1932448677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2362 MAIN ST",
            "address_2": "SUITE B",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2362 MAIN ST",
            "address_2": "SUITE B",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844477",
            "telephone_number": "678-634-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVING FORWARD LIFE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-634-7594",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.