Organization
MOMENTUM COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEISHA MONIQUE WOODS LCSW (OWNER)
(262) 995-0722
Entity
Organization
Contact information
Practice address
927 MAIN ST, RACINE, WI 53403-1524
(262) 770-5184
Mailing address
4815 CONLAINE DR, RACINE, WI 53402-2557
(262) 995-0722
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8711-123
WI
Other
Enumeration date
05/14/2018
Last updated
02/25/2019
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