DEEDRA MONTGOMERY NPI 1225377864

NPI Information

  • NPI: 1225377864
  • Provider Name: DEEDRA MONTGOMERY
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 115 N HARVIN ST
    SUMTER, SC
    ZIP 29150
  • Phone: (803) 775-6815

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NPI Details

Deedra Montgomery is an addiction (substance use disorder) counselor in Sumter, SC. Deedra Montgomery NPI is 1225377864. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

115 N HARVIN ST
SUMTER, SC
ZIP 29150-956
Phone: (803) 775-6815
Fax: (803) 773-6232

The enumeration date for this NPI number is 2/1/2013 and was last updated on 2/1/2013.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

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: 11/21/2025

NPI Synchronization or Removal

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