| Momentum Mental Health, Llc | |
|
1 Carriage Ln Bldg E Charleston SC 29407-6060 | |
| (843) 608-0592 | |
| (854) 800-0322 |
| Full Name | Momentum Mental Health, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1 Carriage Ln Bldg E, Charleston, South Carolina |
| Authorized Official Name and Position | Rex Dula (OWNER) |
| Authorized Official Contact | 8436080592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum Mental Health, Llc 1 Carriage Ln Bldg E Charleston SC 29407-6060 Ph: (843) 608-0592 | Momentum Mental Health, Llc 1 Carriage Ln Bldg E Charleston SC 29407-6060 Ph: (843) 608-0592 |
| NPI Number | 1417703976 |
|---|---|
| Provider Enumeration Date | 04/25/2024 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417703976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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