| Pivotal Moments Llc | |
|
124 Abigayle Row Ofc 4 Scott LA 70583-8909 | |
| (337) 308-8125 | |
| Not Available |
| Full Name | Pivotal Moments Llc |
|---|---|
| Speciality | Non-emergency Medical Transport (van) |
| Location | 124 Abigayle Row Ofc 4, Scott, Louisiana |
| Authorized Official Name and Position | Scholar Lynette Jenkins (CEO) |
| Authorized Official Contact | 3373088125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Moments Llc 124 Abigayle Row Ofc 4 Scott LA 70583-8909 Ph: (337) 308-8125 | Pivotal Moments Llc 124 Abigayle Row Ofc 4 Scott LA 70583-8909 Ph: (337) 308-8125 |
| NPI Number | 1174910004 |
|---|---|
| Provider Enumeration Date | 04/17/2015 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174910004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 251S00000X (Louisiana) | Secondary |
| 343900000X | Non-emergency Medical Transport (van) | (* (Not Available)) | Primary |
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