MONTGOMERY COUNSELING CENTER NPI 1255412714

NPI Information

NPI: 1255412714
Provider Name: MONTGOMERY COUNSELING CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
323 12TH AVE RD
NAMPA, ID
ZIP 83686
Phone: (208) 463-0212
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MONTGOMERY COUNSELING CENTER is a mental health counselor in Nampa, ID. MONTGOMERY COUNSELING CENTER NPI is 1255412714. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

323 12TH AVE RD
NAMPA, ID
ZIP 83686-014
Phone: (208) 463-0212
Fax: (208) 461-5452

The provider's authorized official is Phyllis Montgomery .
The authorized official title is Lcsw and has the following contact phone number (208) 463-0212.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 8/22/2020.

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	101YM0800X	Counselor	Mental Health	LCSW 712	IDAHO	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: 11/14/2023

NPI Synchronization or Removal

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