Mommy Angels Specialty Care Inc.

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

MOMMY ANGELS SPECIALTY CARE INC.

Practice address

1 Dunwoody Park Ste 128
Dunwoody, GA 30338-6723

Phone

(919) 247-6824

NPI assigned

May 29, 2024

Organization subpart

No

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

Authorized official

Name

Lenetta Henderson

Title

Ceo, Cfo

Phone

(919) 247-6824

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Jeanne Fouche

  • Early Intervention Provider Agency
  • Hudson, MA
  • NPI 1730624792
  NPD

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1114767993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DUNWOODY PARK STE 128",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386723",
            "telephone_number": "919-247-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DUNWOODY PARK STE 128",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386723",
            "telephone_number": "919-247-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMMY ANGELS SPECIALTY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "LENETTA",
        "authorized_official_title_or_position": "CEO, CFO",
        "authorized_official_telephone_number": "919-247-6824"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amar Mistry, DDS
• Lamont Allen Mitchell
• Kristin Mize, LCSW
• Mobile Wound Care Services of Atlanta Inc
• Modern Dermatology Atlanta
• Carolina Montoya
• Joel Moorhead, MD, MPH, PHD
• Mary Faith Morgan, LPC
• Alicja Morgas
• Aurelia Morris

• Developmental Disabilities Clinic/Center in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Developmental Disabilities Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.