Healthcare Provider Details

I. General information

NPI: 1225858061
Provider Name (Legal Business Name): PRISCILLA MONTES LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2024
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 MOUNT PLEASANT RD
NEWTOWN CT
06470-1443
US

IV. Provider business mailing address

172 MOUNT PLEASANT RD
NEWTOWN CT
06470-1443
US

V. Phone/Fax

Practice location:
  • Phone: 203-917-8296
  • Fax: 203-403-9737
Mailing address:
  • Phone: 203-917-8296
  • Fax: 203-403-9737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7687
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: