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NPI Code Detail

MEDICARE: MOMENT TO MOMENT LLP

MEDICARE: MOMENT TO MOMENT LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor
31041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972058667
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOMENT TO MOMENT LLP
Provider Business Mailing Address
First Line : 2503 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-3322
Country : US
Telephone Number : 614-684-8243
Fax Number : 614-516-0710
Provider Business Practice Location Address
First Line : 2503 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-3322
Country : US
Telephone Number : 614-264-4165
Fax Number : 614-516-0710
Authorized Official
Title or Position : OWNER
Name : TAYLOR STEWART
Credential : LISW-S
Telephone Number : 614-264-4165
Provider Enumeration Date : 08/23/2016
Last Update Date : 04/22/2020

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Directions to “MOMENT TO MOMENT LLP ” Practice Location

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