| NPI | 1396524005 |
|---|---|
| Former Legal Business Name | MOMMIHEALTH PLLC |
| Entity Type | Organization |
| Authorized Contact | JESSICA GAULTON Owner 267-432-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2025-01-09 |