Provider Demographics
NPI:1033672084
Name:MOMENTUM COUNSELING, PLLC
Entity Type:Organization
Organization Name:MOMENTUM COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF PLLC
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:586-944-9733
Mailing Address - Street 1:10081 BRAY RD
Mailing Address - Street 2:
Mailing Address - City:MILLINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48746-9524
Mailing Address - Country:US
Mailing Address - Phone:586-944-9733
Mailing Address - Fax:810-686-7315
Practice Address - Street 1:740 CENTER ST
Practice Address - Street 2:
Practice Address - City:CLIO
Practice Address - State:MI
Practice Address - Zip Code:48420-1148
Practice Address - Country:US
Practice Address - Phone:810-686-7313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)