Provider Demographics
NPI:1033452180
Name:MOMENTUM COUPLES & FAMILY THERAPY, LLC
Entity Type:Organization
Organization Name:MOMENTUM COUPLES & FAMILY THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MANAGER/CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:DAVID
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:724-557-6598
Mailing Address - Street 1:315 MORGANTOWN ST
Mailing Address - Street 2:SUITE 7000
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-4878
Mailing Address - Country:US
Mailing Address - Phone:724-557-6598
Mailing Address - Fax:724-550-4160
Practice Address - Street 1:315 MORGANTOWN ST
Practice Address - Street 2:SUITE 7000
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-4878
Practice Address - Country:US
Practice Address - Phone:724-557-6598
Practice Address - Fax:724-550-4160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-27
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty