Provider Demographics
NPI:1720585995
Name:MOMENTUM MINISTRIES, INC.
Entity Type:Organization
Organization Name:MOMENTUM MINISTRIES, INC.
Other - Org Name:EXPEDITIONARY COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:704-200-9343
Mailing Address - Street 1:1050 SAM LATTIMORE RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28152-0536
Mailing Address - Country:US
Mailing Address - Phone:170-420-0934
Mailing Address - Fax:
Practice Address - Street 1:1114 S LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28152-6708
Practice Address - Country:US
Practice Address - Phone:704-200-9343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health