| Moments Matter Therapy Pllc | |
|
200 Valencia Dr Jacksonville NC 28546-6311 | |
| (910) 939-0798 | |
| Not Available |
| Full Name | Moments Matter Therapy Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 200 Valencia Dr, Jacksonville, North Carolina |
| Authorized Official Name and Position | Trisha Johnson (OWNER) |
| Authorized Official Contact | 9109390798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moments Matter Therapy Pllc 200 Valencia Dr Jacksonville NC 28546-6311 Ph: () - | Moments Matter Therapy Pllc 200 Valencia Dr Jacksonville NC 28546-6311 Ph: (910) 939-0798 |
| NPI Number | 1629702378 |
|---|---|
| Provider Enumeration Date | 07/10/2022 |
| Last Update Date | 07/10/2022 |
| Certification Date | 07/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629702378 | NPI | - | NPPES |
| 1972149185 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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