Organization
MOMMY 2 MOMMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY FULWOOD (OWNER)
(704) 891-6883
Entity
Organization
Contact information
Practice address
120 MACEY BLVD, VERSAILLES, KY 40383-1343
(704) 891-6883
Mailing address
8036 MCGARRY TRL, CHARLOTTE, NC 28214-7649
(704) 891-6883
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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