Provider Demographics
NPI:1164206686
Name:IN THE MOMENT COUNSELING & LIFE COACHING LLC
Entity Type:Organization
Organization Name:IN THE MOMENT COUNSELING & LIFE COACHING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-432-9621
Mailing Address - Street 1:PO BOX 1103
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-9103
Mailing Address - Country:US
Mailing Address - Phone:240-432-9621
Mailing Address - Fax:
Practice Address - Street 1:7059 SAUVAGE LN
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-1682
Practice Address - Country:US
Practice Address - Phone:240-432-9621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty