NPI Code Details Logo

NPI 1386920049

NPI 1386920049 : POINT MOMENTUM, P.L.L.C. : FAYETTEVILLE, AR

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1386920049
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    POINT MOMENTUM, P.L.L.C. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/26/2011
-----------------------------------------------------
    Last Update Date     |    02/03/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2592 N GREGG AVE STE 35 
-----------------------------------------------------
    City                 |    FAYETTEVILLE
-----------------------------------------------------
    State                |    AR
-----------------------------------------------------
    Zip                  |    72703-5541
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    479-856-2602
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2592 N GREGG AVE STE 35 
-----------------------------------------------------
    City                 |    FAYETTEVILLE
-----------------------------------------------------
    State                |    AR
-----------------------------------------------------
    Zip                  |    72703-5541
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    479-856-2602
-----------------------------------------------------
    Fax                  |    501-633-5443
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DIRECTOR
-----------------------------------------------------
    Name                 |     ZACH A NEWCOMB 
-----------------------------------------------------
    Credential           |    LCSW
-----------------------------------------------------
    Telephone            |    479-856-2602
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    2556-C
-----------------------------------------------------
    License Number State |    AR
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.