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MOMENTUM BEHAVIORAL HEALTH CONSULTANTS AND PARENT COACHING NPI 1467190900


NPI Information

NPI: 1467190900
Provider Name: MOMENTUM BEHAVIORAL HEALTH CONSULTANTS AND PARENT COACHING
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
6607 FANNON DR
BOWIE, MD
ZIP 20720
Phone: (504) 284-8837
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MOMENTUM BEHAVIORAL HEALTH CONSULTANTS AND PARENT COACHING is a pediatrics in Bowie, MD. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MOMENTUM BEHAVIORAL HEALTH CONSULTANTS AND PARENT COACHING NPI is 1467190900. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6607 FANNON DR
BOWIE, MD
ZIP 20720-729
Phone: (504) 284-8837

The provider's authorized official is Colleen Michelle Wallace .
The authorized official title is President and has the following contact phone number (504) 284-8837.

The enumeration date for this NPI number is 5/24/2022 and was last updated on 5/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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