| Momentum Institute Of Therapeutic And Communal Services Llc | |
|
3300 S. Broad St. New Orleans LA 70125 | |
| (504) 939-7996 | |
| Not Available |
| Full Name | Momentum Institute Of Therapeutic And Communal Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3300 S. Broad St., New Orleans, Louisiana |
| Authorized Official Name and Position | Joseph Johnson (OWNER) |
| Authorized Official Contact | 5049397996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum Institute Of Therapeutic And Communal Services Llc 448 Belleville St New Orleans LA 70114-1115 Ph: () - | Momentum Institute Of Therapeutic And Communal Services Llc 3300 S. Broad St. New Orleans LA 70125 Ph: (504) 939-7996 |
| NPI Number | 1295158145 |
|---|---|
| Provider Enumeration Date | 01/29/2014 |
| Last Update Date | 01/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295158145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5082 (Louisiana) | Primary |
| 251S00000X | Community/behavioral Health | 5082 (Louisiana) | Secondary |
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