Organization
MOMENTUM HEALTH GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA NIEMAN LCPC (OWNER)
(630) 865-7727
Entity
Organization
Contact information
Practice address
170 MEETING ST STE 110, CHARLESTON, SC 29401-3178
(312) 757-2182
Mailing address
170 MEETING ST STE 110, CHARLESTON, SC 29401-3178
(312) 757-2182
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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