| Mountain Momma & Family Services, Llc | |
|
976 Taylor School Rd Bridgeport WV 26330-7496 | |
| (304) 933-9085 | |
| (304) 407-4964 |
| Full Name | Mountain Momma & Family Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 976 Taylor School Rd, Bridgeport, West Virginia |
| Authorized Official Name and Position | Stephanie Ann Hurst (OWNER/APRN PROVIDER) |
| Authorized Official Contact | 3049339085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Momma & Family Services, Llc 976 Taylor School Rd Bridgeport WV 26330-7496 Ph: (304) 933-9085 | Mountain Momma & Family Services, Llc 976 Taylor School Rd Bridgeport WV 26330-7496 Ph: (304) 933-9085 |
| NPI Number | 1679278071 |
|---|---|
| Provider Enumeration Date | 04/04/2023 |
| Last Update Date | 04/04/2023 |
| Certification Date | 04/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679278071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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