Provider Demographics
NPI:1093308454
Name:HEALTH MOMENTUM INC.
Entity Type:Organization
Organization Name:HEALTH MOMENTUM INC.
Other - Org Name:HM WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LORNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIZOTTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-703-6660
Mailing Address - Street 1:3602 MATLOCK RD STE 206
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-3600
Mailing Address - Country:US
Mailing Address - Phone:833-874-6935
Mailing Address - Fax:
Practice Address - Street 1:3602 MATLOCK RD STE 206
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-3600
Practice Address - Country:US
Practice Address - Phone:833-874-6935
Practice Address - Fax:817-618-6556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-17
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care