MEDICARE: MONTANA QUELER MENTAL HEALTH COUNSELING PLLC

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	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1881535706
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONTANA QUELER MENTAL HEALTH COUNSELING PLLC

Provider Business Mailing Address
First Line	:	3923 W LEONA ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-7825
Country	:	US
Telephone Number	:	917-780-2504
Fax Number	:

Provider Business Practice Location Address
First Line	:	3502 HENDERSON BLVD STE 321
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4088
Country	:	US
Telephone Number	:	561-862-7789
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL PSYCHOLOGIST
Name	:	MONTANA QUELER
Credential	:	PHD
Telephone Number	:	561-862-7789

Provider Enumeration Date	:	04/03/2026
Last Update Date	:	04/10/2026

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