Organization
GUIDED MOMENTUM THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN ALEXANDER MCCUTCHEON LISW-S (OWNER)
(567) 395-1453
Entity
Organization
Contact information
Practice address
27072 CARRONADE DR STE H, PERRYSBURG, OH 43551-5303
(419) 482-8551
Mailing address
27072 CARRONADE DR STE H, PERRYSBURG, OH 43551-5303
(419) 482-8551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
03/25/2026
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