| Momentum Therapeutic Services | |
|
2402 Wildwood Ave Ste 115 Sherwood AR 72120-6014 | |
| (501) 983-2199 | |
| (501) 506-3138 |
| Full Name | Momentum Therapeutic Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2402 Wildwood Ave Ste 115, Sherwood, Arkansas |
| Authorized Official Name and Position | Eric Dillinger (OWNER) |
| Authorized Official Contact | 9153005534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum Therapeutic Services 1017 Stevenson Cv Jacksonville AR 72076-4872 Ph: (915) 300-5534 | Momentum Therapeutic Services 2402 Wildwood Ave Ste 115 Sherwood AR 72120-6014 Ph: (501) 983-2199 |
| NPI Number | 1215664099 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 10/07/2022 |
| Certification Date | 10/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215664099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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