Mommy & Mentors Mihp, LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

MOMMY & MENTORS MIHP, LLC

Practice address

40946 Crossbow Cir Apt 201
Canton, MI 48188-3156

Phone

(734) 377-8841

NPI assigned

Sep 28, 2017

Last updated

Sep 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Enid Alexandra MooreNPI 1396262101

Title

Owner

Phone

(734) 377-8841

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, and the practitioner matching its NPPES authorized official.

• Enid Alexandra Moore

  • Social Worker
  • Ypsilanti, MI
  • NPI 1396262101
  NPD Authorized official

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506556800000",
    "number": "1487163721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40946 CROSSBOW CIR APT 201",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481883156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40946 CROSSBOW CIR APT 201",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481883156",
            "telephone_number": "734-377-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMMY & MENTORS MIHP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ENID",
        "authorized_official_middle_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-377-8841"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marrisa Modell
• Mohamad Bazzi M D P C
• Syeda Yasmeen Mohammad, PSY.D.LP
• Wisal S Mohd, RPH
• Momentum Care
• Monica J Thomson, DO, PLLC
• Myles Montaque
• Monte Group (Canton Family Chiropractic)
• Diamond Rashida Moore Shelby, MD
• Helen Kang Morgan, MD

• Public Health or Welfare Agency in Canton, MI
• Providers in Canton, MI by specialty
• Public Health or Welfare Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; 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.