Healthcare Provider Details

I. General information

NPI: 1275976292
Provider Name (Legal Business Name): MONTOYIA HORNER LPC-MHSP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2013
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 S CHURCH ST STE B100
MURFREESBORO TN
37130-4987
US

IV. Provider business mailing address

PO BOX 31374
LITTLE ROCK AR
72260-0024
US

V. Phone/Fax

Practice location:
  • Phone: 501-420-3948
  • Fax: 615-728-3599
Mailing address:
  • Phone: 501-448-5423
  • Fax: 615-728-3599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number88538
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP1911139
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6336
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: