=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699455840
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MONTEZ & CO. ADULLAM HOUSE PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/21/2023
-----------------------------------------------------
Last Update Date | 08/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1401 E ELMS RD STE 205
-----------------------------------------------------
City | KILLEEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76542-2810
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 254-397-2219
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1109 DRY RIDGE RD
-----------------------------------------------------
City | HARKER HEIGHTS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76548-7168
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 334-324-7416
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER AND PSYCHOTHERAPIST
-----------------------------------------------------
Name | MRS. ASHLEY MONTEZ
-----------------------------------------------------
Credential | MS, LMFT
-----------------------------------------------------
Telephone | 254-397-2219
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------