Provider Demographics
NPI:1043859622
Name:MOMENTUM HEALTH CONSULTANTS, LLC
Entity Type:Organization
Organization Name:MOMENTUM HEALTH CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:POTERE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, CHCQM
Authorized Official - Phone:954-695-6847
Mailing Address - Street 1:5525 BELAIR RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-3654
Mailing Address - Country:US
Mailing Address - Phone:443-831-0617
Mailing Address - Fax:
Practice Address - Street 1:5525 BELAIR RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-3654
Practice Address - Country:US
Practice Address - Phone:443-831-0617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-31
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryGroup - Multi-Specialty