Provider Demographics
NPI:1447938980
Name:MOMENTUM COUNSELING INC
Entity type:Organization
Organization Name:MOMENTUM COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:PANZA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:978-225-3201
Mailing Address - Street 1:PO BOX 5495
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01835-0495
Mailing Address - Country:US
Mailing Address - Phone:978-225-3201
Mailing Address - Fax:
Practice Address - Street 1:135 S MAIN ST STE 5495
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01835-9991
Practice Address - Country:US
Practice Address - Phone:978-225-3201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-06
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)