# MOMO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003641358
- **Authorized official:** MCCLAIN LEEDS OWENS LCSW (OWNER)
- **Authorized official phone:** (502) 509-9436

## Contact information

- **Practice address:** 162 GLENN PL, LEXINGTON, KY 40505-3519
- **Practice address phone:** (502) 509-9436
- **Mailing address:** 743 E BROADWAY \# 217, LOUISVILLE, KY 40202-1711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/05/2024
- **Last updated:** 09/05/2024