MEDICARE: MELISSA MONTGOMERY

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	101YM0800X	Mental Health Counselor	0704018121	VA

General Provider Information

NPI Number	:	1730067315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA MONTGOMERY

Provider Business Mailing Address
First Line	:	301 CONCOURSE BLVD STE 230
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-5643
Country	:	US
Telephone Number	:	804-539-1141
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 CONCOURSE BLVD STE 230
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-5643
Country	:	US
Telephone Number	:	804-539-1141
Fax Number	:

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

Provider Enumeration Date	:	08/22/2025
Last Update Date	:	08/22/2025

Similar Medicare Providers

1932050747 — SELAH COUNSELING SERVICES
Practice Location Address:

301 CONCOURSE BLVD STE 230
GLEN ALLEN, VA
23059-5643

Practice Phone: 757-346-2316
Practice Fax: 757-866-5603

1578688818 — DR. SARAH BREITBACH SNEED PH.D.
Practice Location Address:

301 CONCOURSE BLVD , SUITE 227
GLEN ALLEN, VA
23059-5643

Practice Phone: 804-378-2083
Practice Fax:

1659658805 — MEDIKO, PC
Practice Location Address:

301 CONCOURSE BLVD , SUITE 210
GLEN ALLEN, VA
23059-5643

Practice Phone: 804-433-1010
Practice Fax: 804-433-1055

1992376586 — RACHEL LEIGH HOFFMAN
Practice Location Address:

301 CONCOURSE BLVD STE 230
GLEN ALLEN, VA
23059-5643

Practice Phone: 800-853-5996
Practice Fax: 804-843-8529

1699520072 — EMPATH LLC
Practice Location Address:

301 CONCOURSE BLVD STE 230
GLEN ALLEN, VA
23059-5643

Practice Phone: 800-853-5996
Practice Fax: 804-843-8529

1538038013 — CARAVATI COUNSELING LLC
Practice Location Address:

301 CONCOURSE BLVD STE 230
GLEN ALLEN, VA
23059-5643

Practice Phone: 804-207-3375
Practice Fax:

Directions to “ MELISSA MONTGOMERY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.