Organization
MOMENTUM COACHING GROUP LLC
Active
Organization
MOMENTUM COACHING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WEINBERG LCSW (OWNER/CLINICAL DIRECTOR)
(314) 439-1005
Entity
Organization
Contact information
Practice address
7710 CARONDELET AVE STE 204, SAINT LOUIS, MO 63105-3319
(314) 439-1005
Mailing address
7710 CARONDELET AVE STE 204, SAINT LOUIS, MO 63105-3319
(314) 439-1005
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2011036949
MO
101YP2500X
Professional Counselor
2013007093
MO
1041C0700X
Clinical Social Worker
Primary
2014023114
MO
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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