| Momentum Counseling And Wellness Llc | |
|
431 Walton Park Road Midlothian VA 23114 | |
| (804) 437-2599 | |
| Not Available |
| Full Name | Momentum Counseling And Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 431 Walton Park Road, Midlothian, Virginia |
| Authorized Official Name and Position | Kerrie Lynne Bogaz (OWNER) |
| Authorized Official Contact | 8044372599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum Counseling And Wellness Llc 431 Walton Park Road Midlothian VA 23114 Ph: (804) 437-2599 | Momentum Counseling And Wellness Llc 431 Walton Park Road Midlothian VA 23114 Ph: (804) 437-2599 |
| NPI Number | 1689122012 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 09/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689122012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904006987 (Virginia) | Primary |
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