Mommy 2 Mommy LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

MOMMY 2 MOMMY LLC

Practice address

120 Macey Blvd
Versailles, KY 40383-1343

Phone

(704) 891-6883

NPI assigned

Jul 14, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ashley Fulwood

Title

Owner

Phone

(704) 891-6883

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1033843073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8036 MCGARRY TRL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282147649",
            "telephone_number": "704-891-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MACEY BLVD",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831343",
            "telephone_number": "704-891-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMMY 2 MOMMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "FULWOOD",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-891-6883"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Kay Miller, LMFT
• Jordyn Lynn Miller
• Michale Miller
• Vanessa Dawn Miller, NP-C
• Lauren Ashley Mitchell
• Monarch Behavioral Health LLC
• Daniel Bailey Moore, DO
• Johanna Hsinlin Moore
• Timothy L Morgan, DO
• Valerie Morrison, CSW

• Adolescent and Children Mental Health Clinic/Center in Versailles, KY
• Providers in Versailles, KY by specialty
• Adolescent and Children Mental Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.