Healthcare Provider Details

I. General information

NPI: 1922606771
Provider Name (Legal Business Name): MARTHA FRANEK-MONTANEZ LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2020
Last Update Date: 11/22/2023
Certification Date: 11/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 HIDDEN MEADOW DR
KELLER TX
76248-1228
US

IV. Provider business mailing address

8528 DAVIS BLVD # 134B139
NORTH RICHLAND HILLS TX
76182-8367
US

V. Phone/Fax

Practice location:
  • Phone: 203-253-6892
  • Fax:
Mailing address:
  • Phone: 203-253-6892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number75599
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: