| Mommy 2 Mommy Llc | |
|
120 Macey Blvd Versailles KY 40383-1343 | |
| (704) 891-6883 | |
| Not Available |
| Full Name | Mommy 2 Mommy Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 120 Macey Blvd, Versailles, Kentucky |
| Authorized Official Name and Position | Ashley Fulwood (OWNER) |
| Authorized Official Contact | 7048916883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mommy 2 Mommy Llc 8036 Mcgarry Trl Charlotte NC 28214-7649 Ph: (704) 891-6883 | Mommy 2 Mommy Llc 120 Macey Blvd Versailles KY 40383-1343 Ph: (704) 891-6883 |
| NPI Number | 1033843073 |
|---|---|
| Provider Enumeration Date | 07/14/2022 |
| Last Update Date | 07/14/2022 |
| Certification Date | 07/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033843073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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