Organization
MOMENTS MATTER THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHA JOHNSON LMFT (OWNER)
(910) 939-0798
Entity
Organization
Contact information
Practice address
200 VALENCIA DR, JACKSONVILLE, NC 28546-6311
(910) 939-0798
Mailing address
200 VALENCIA DR, JACKSONVILLE, NC 28546-6311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972149185
—
NC
Enumeration date
07/10/2022
Last updated
07/10/2022
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