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Organization
MOMENTUM MENTAL HEALTH LLC
Active
Organization
MOMENTUM MENTAL HEALTH LLC
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD ARTHUR MARDOIAN (OWNER)
(610) 504-5821
Entity
Organization
Contact information
Practice address
50 DEPOT RD, FALMOUTH, ME 04105-1211
(207) 835-3616
Mailing address
50 DEPOT RD STE 2, FALMOUTH, ME 04105-1211
(207) 835-3616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
03/01/2024
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