# MOMENTUM COUNSELING SERVICES, CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245729417
- **Authorized official:** TYLER STARK LCMHC (OWNER)
- **Authorized official phone:** (801) 518-9362

## Contact information

- **Practice address:** 11075 S STATE ST STE 13, SANDY, UT 84070-5193
- **Practice address phone:** (801) 948-0939
- **Mailing address:** 1446 E ANVIL DR, DRAPER, UT 84020-8832
- **Mailing address phone:** (801) 898-7502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 8598755-6004 | UT | Yes |
| 106H00000X | Marriage & Family Therapist | 6153954-3902 | UT | — |

## Other

- **Enumeration date:** 05/03/2018
- **Last updated:** 05/03/2018