Healthcare Provider Details

I. General information

NPI: 1558991273
Provider Name (Legal Business Name): OPRAH MONTAGUE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2020
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23310 DUKES RUN DR
SPRING TX
77373-8672
US

IV. Provider business mailing address

23310 DUKES RUN DR
SPRING TX
77373-8672
US

V. Phone/Fax

Practice location:
  • Phone: 832-830-3691
  • Fax:
Mailing address:
  • Phone: 832-830-3691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number77790
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: