| Momentum Counseling Center Llc | |
|
501 E Plaza Cir Suite 9 Litchfield Park AZ 85340-4998 | |
| (480) 448-2929 | |
| Not Available |
| Full Name | Momentum Counseling Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 501 E Plaza Cir, Litchfield Park, Arizona |
| Authorized Official Name and Position | Michael Huang (MEMBER/OWNER) |
| Authorized Official Contact | 2068028843 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum Counseling Center Llc 501 E Plaza Cir Suite 9 Litchfield Park AZ 85340-4998 Ph: () - | Momentum Counseling Center Llc 501 E Plaza Cir Suite 9 Litchfield Park AZ 85340-4998 Ph: (480) 448-2929 |
| NPI Number | 1770957078 |
|---|---|
| Provider Enumeration Date | 11/24/2015 |
| Last Update Date | 11/24/2015 |
| Medicare PECOS PAC ID | 7810253101 |
|---|---|
| Medicare Enrollment ID | O20171101002908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770957078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mindy B Huang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407177066 PECOS PAC ID: 5698049260 Enrollment ID: I20170920001644 |
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