NPI 1003641358

Momo LLC

Organisation Clinical Social Worker Lexington, KY

Practice location

Address: 162 Glenn Pl, Lexington, KY 40505-3519
Phone: (502) 509-9436
Mailing address: 743 E Broadway # 217, Louisville, KY 40202-1711

Authorised official

Name: McClain Leeds Owens
Title: Owner
Phone: (502) 509-9436

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in Kentucky →

Registry record

NPI: 1003641358
Entity type: Organization
NPI issued: 5 Sep 2024
Record last updated: 5 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.