MEDICARE: COURTNEY MONTANYE CT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor		OH

General Provider Information

NPI Number	:	1164150389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY MONTANYE CT

Provider Business Mailing Address
First Line	:	423 HANFORD ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43206-3637
Country	:	US
Telephone Number	:	740-447-8292
Fax Number	:

Provider Business Practice Location Address
First Line	:	751 NORTHWEST BLVD STE 200
Second Line	:
City	:	GRANDVIEW
State	:	OH
Zip	:	43212-1977
Country	:	US
Telephone Number	:	614-783-6010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2022
Last Update Date	:	08/15/2022

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Directions to “ COURTNEY MONTANYE CT” Practice Location

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