Healthcare Provider Details

I. General information

NPI: 1730099250
Provider Name (Legal Business Name): FLORENCE MONTIERTH LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15640 N 7TH ST STE A1
PHOENIX AZ
85022-3520
US

IV. Provider business mailing address

15640 N 7TH ST STE A1
PHOENIX AZ
85022-3520
US

V. Phone/Fax

Practice location:
  • Phone: 623-688-2118
  • Fax:
Mailing address:
  • Phone: 623-688-2118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLMSW-08488T
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: