| Nexus Momentum Psychotherapy Llc | |
|
2135 N 63rd St Wauwatosa WI 53213-2054 | |
| (414) 367-8494 | |
| Not Available |
| Full Name | Nexus Momentum Psychotherapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2135 N 63rd St, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Kymberlee Blackford (OWNER) |
| Authorized Official Contact | 4143678494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nexus Momentum Psychotherapy Llc 777 N Jefferson St Ste 408 Pmb 1250 Milwaukee WI 53202-1924 Ph: (414) 367-8494 | Nexus Momentum Psychotherapy Llc 2135 N 63rd St Wauwatosa WI 53213-2054 Ph: (414) 367-8494 |
| NPI Number | 1174331441 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 01/31/2025 |
| Certification Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174331441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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