MR. MARK ALYN MONTGOMERY LPC LISAC NPI 1851478564

NPI Information

NPI: 1851478564
Provider Name: MR. MARK ALYN MONTGOMERY, LPC, LISAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4554 E. INVERNESS AVE., C-108
MESA, AZ
ZIP 85206
Phone: (480) 330-5031
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MR. Mark Alyn Montgomery, LPC, LISAC is an addiction (substance use disorder) counselor in Mesa, AZ. MR. Mark Alyn Montgomery, LPC, LISAC NPI is 1851478564. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4554 E. INVERNESS AVE., C-108
MESA, AZ
ZIP 85206-639
Phone: (480) 330-5031
Fax: (480) 926-2326

The enumeration date for this NPI number is 11/1/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LISAC-1677	ARIZONA	Yes
2	101YM0800X	Counselor	Mental Health	LPC-2087	ARIZONA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LISAC-1677	OTHER	ARIZONA	LIC. IND. SUB. ABUSE COUN
2	LPC-2087	OTHER	ARIZONA	LICENSED PROF. COUNSELOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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