# MOMENTS MATTER THERAPY PLLC

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

## Provider details

- **NPI number:** 1629702378
- **Authorized official:** TRISHA JOHNSON LMFT (OWNER)
- **Authorized official phone:** (910) 939-0798

## Contact information

- **Practice address:** 200 VALENCIA DR, JACKSONVILLE, NC 28546-6311
- **Practice address phone:** (910) 939-0798
- **Mailing address:** 200 VALENCIA DR, JACKSONVILLE, NC 28546-6311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2022
- **Last updated:** 07/10/2022