MEDICARE: ANNEL MONTES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor	1404288950	NV
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1609392869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNEL MONTES

Provider Business Mailing Address
First Line	:	4775 BIG DRAW DR
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-2898
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3837 DABNEY DR
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-0405
Country	:	US
Telephone Number	:	702-985-7966
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2017
Last Update Date	:	09/11/2024

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Directions to “ ANNEL MONTES ” Practice Location

Language	Start Address	Practice Location

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