Mountain Momma & Family Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MOUNTAIN MOMMA & FAMILY SERVICES, LLC

Doing business as

Mountain Momma & Family Services, LLC

Practice address

976 Taylor School Rd
Bridgeport, WV 26330-7496

Phone

(304) 933-9085

Fax

(304) 407-4964

NPI assigned

Apr 4, 2023

Last updated

Apr 4, 2023By 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

Stephanie Ann Hurst, APRNNPI 1114224169

Title

Owner/Aprn Provider

Phone

(304) 933-9085

Specialties & licenses 1

Addresses

Other names 1

• Mountain Momma & Family Services, LLC Doing business as

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.

• Stephanie Ann Hurst, DNP, APRN

  • Advanced Practice Midwife
  • Bridgeport, WV
  • NPI 1114224169
  NPD Authorized official

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1679278071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 TAYLOR SCHOOL RD",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263307496",
            "telephone_number": "304-933-9085",
            "fax_number": "304-407-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 TAYLOR SCHOOL RD",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263307496",
            "telephone_number": "304-933-9085",
            "fax_number": "304-407-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MOMMA & FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/APRN PROVIDER",
        "authorized_official_telephone_number": "304-933-9085",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Momma & Family Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgantown Orthotic & Prosthetic Center, Inc (Morgantown O&P, MOPC,)
• Jordan Renee Morrison, OPTICIAN
• Cloie Danielle Mosesso
• Saad Mossallati, M.D.
• Mountain Laurel Psychiatry LLC
• Mountain River Physical Therapy, LLC
• Mountain State Medical Specialties, PLLC
• Mountain State Medical Specialties,Inc.
• Mountainear Audiology & Hearing Aid Center, LLC
• Mountaineer Family Practice PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.