# MOMENTUM MENTAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ellie Mental Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033801675
- **Authorized official:** MR. RICHARD ARTHUR MARDOIAN (OWNER)
- **Authorized official phone:** (610) 504-5821

## Contact information

- **Practice address:** 50 DEPOT RD, FALMOUTH, ME 04105-1211
- **Practice address phone:** (207) 835-3616
- **Mailing address:** 50 DEPOT RD STE 2, FALMOUTH, ME 04105-1211
- **Mailing address phone:** (207) 835-3616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2023
- **Last updated:** 03/01/2024