MOMENTUM COUNSELING AND WELLNESS LLC NPI 1689122012

NPI Information

  • NPI: 1689122012
  • Provider Name: MOMENTUM COUNSELING AND WELLNESS LLC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 431 WALTON PARK ROAD
    MIDLOTHIAN, VA
    ZIP 23114
  • Phone: (804) 437-2599

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NPI Details

MOMENTUM COUNSELING AND WELLNESS LLC is a clinical social worker in Midlothian, VA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MOMENTUM COUNSELING AND WELLNESS LLC NPI is 1689122012. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

431 WALTON PARK ROAD
MIDLOTHIAN, VA
ZIP 23114
Phone: (804) 437-2599

The provider's authorized official is Kerrie Lynne Bogaz .
The authorized official title is Owner and has the following contact phone number (804) 437-2599.

The enumeration date for this NPI number is 9/14/2016 and was last updated on 9/14/2016.

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
11041C0700XSocial WorkerClinical0904006987VIRGINIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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