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Organization
MOMENTUM COUNSELING SERVICES, PLLC
Active
Organization
MOMENTUM COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY BURGIN LCSW (OWNER)
(919) 260-8229
Entity
Organization
Contact information
Practice address
8510 SIX FORKS RD, SUITE 101, RALEIGH, NC 27615-3257
(919) 260-8229
(919) 590-1982
Mailing address
8510 SIX FORKS RD, SUITE 101, RALEIGH, NC 27615-3257
(919) 260-8229
(919) 590-1982
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C008604
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841699162
NPI 1
NC
Enumeration date
03/07/2016
Last updated
11/02/2016
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