MOMENTUM COUNSELING SERVICES CORP NPI 1245729417

NPI Information

NPI: 1245729417
Provider Name: MOMENTUM COUNSELING SERVICES, CORP
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
11075 S STATE ST STE 13
SANDY, UT
ZIP 84070
Phone: (801) 948-0939
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MOMENTUM COUNSELING SERVICES, CORP is a mental health counselor in Sandy, UT. MOMENTUM COUNSELING SERVICES, CORP NPI is 1245729417. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11075 S STATE ST STE 13
SANDY, UT
ZIP 84070-193
Phone: (801) 948-0939

The provider's authorized official is Tyler Stark .
The authorized official title is Owner and has the following contact phone number (801) 518-9362.

The enumeration date for this NPI number is 5/3/2018 and was last updated on 5/3/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	8598755-6004	UTAH	Yes
2	106H00000X	Marriage & Family Therapist		6153954-3902	UTAH	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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