Momenta Mental Health
LBN: Momenta Mental Health
Momenta Mental Health is an health care organization with primary practice located at 2179 4Th St Ste 2F , White Bear Lake MN 55110-3041. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty.
Momenta Mental Health can be contacted via phone (701) 426-8833, or through Marion, Brianne M via phone (651) 381-6611.
Contact Information
Primary practice address
2179 4Th St Ste 2F
White Bear Lake MN 55110-3041
Phone: (701) 426-8833
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1215692785 |
|---|---|
| LBN Legal business name | Momenta Mental Health |
| DBA Doing business as | |
| Authorized official | Marion, Brianne M PSYD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2021 |
| Last updated | Jan 13th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215692785 | NPPES |
| Minnesota | MEDICAID | 1053785691 |
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