Healthcare Provider Details

I. General information

NPI: 1982520557
Provider Name (Legal Business Name): MOMENTUM FOR LIVING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 E JEFFERSON ST UNIT 78
HOSCHTON GA
30548-4600
US

IV. Provider business mailing address

PO BOX 78
HOSCHTON GA
30548-0078
US

V. Phone/Fax

Practice location:
  • Phone: 678-408-8438
  • Fax:
Mailing address:
  • Phone: 678-408-8438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMORETTE JONES
Title or Position: OWNER/ PSYCHOTHERAPIST
Credential: LMFT, LPC, NCC
Phone: 678-677-0439