Provider Demographics
NPI:1902569817
Name:MEANINGFUL MOMENTS LLC
Entity type:Organization
Organization Name:MEANINGFUL MOMENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SHARISE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:516-943-4822
Mailing Address - Street 1:446 E MEADOW AVE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-6000
Mailing Address - Country:US
Mailing Address - Phone:516-943-4822
Mailing Address - Fax:
Practice Address - Street 1:763 WINDSOR RD
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-2327
Practice Address - Country:US
Practice Address - Phone:516-943-4822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency