Healthcare Provider Details

I. General information

NPI: 1306740196
Provider Name (Legal Business Name): LYNNE MONTGOMERY MARTIN LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUE LYNNE MONTGOMERY

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 7TH ST NE STE B
HICKORY NC
28601-5154
US

IV. Provider business mailing address

321 7TH ST NE STE B
HICKORY NC
28601-5154
US

V. Phone/Fax

Practice location:
  • Phone: 828-485-2195
  • Fax:
Mailing address:
  • Phone: 828-485-2195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA23586
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: