Healthcare Provider Details

I. General information

NPI: 1225127210
Provider Name (Legal Business Name): LINDA MONTANARI LMFT, ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 06/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 BUCHANAN ST 910
HOLLYWOOD FL
33019-1202
US

IV. Provider business mailing address

322 BUCHANAN ST 910
HOLLYWOOD FL
33019-1202
US

V. Phone/Fax

Practice location:
  • Phone: 954-673-3197
  • Fax:
Mailing address:
  • Phone: 954-673-3197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT1825
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number91-150
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: