MOMENTUM BEHAVIORAL HEALTH & WELLNESS


Address: 2014 Goose Creek Rd Ste 106b, Waynesboro, VA 22980-6588
Phone: 5404517511

MOMENTUM BEHAVIORAL HEALTH & WELLNESS (NPI# 1346876620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346876620
Entity Type Organization
Organization Name MOMENTUM BEHAVIORAL HEALTH & WELLNESS
Practice Address 2014 Goose Creek Rd Ste 106b
Waynesboro
VA 22980-6588
Practice Telephone 5404517511
Practice Fax Number 5404517512
Mailing Telephone 5404517511
Mailing Fax Number 5404517512
Enumeration Date 2020-03-18
Last Update Date 2020-03-19
Authorized Official Name MS. TINA ANN JUDGE (NP, CS)
Authorized Official Telephone 5404517511
Authorized Official Credential NP, CS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
535 Westfield Rd Ste 100, Charlottesville, VA 229011870 5404517511 5404517512

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Momentum Behavioral Health & Wellness PLC 535 Westfield Rd Ste 100, Charlottesville, Virginia 22939

Office Location

Street Address 2014 GOOSE CREEK RD STE 106B
City WAYNESBORO
State VA
Zip Code 22980-6588

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City WAYNESBORO
Zip Code 22980

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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