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NPI Code Detail

MEDICARE: STEPHANIE D. MONTGOMERY LPCC

MEDICARE: STEPHANIE D. MONTGOMERY LPCC
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
1101YM0800XMental Health Counselor165585KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952799355
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE D. MONTGOMERY LPCC
Provider Business Mailing Address
First Line : 203 N ELM ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-3132
Country : US
Telephone Number : 270-826-8761
Fax Number : 270-826-8737
Provider Business Practice Location Address
First Line : 203 N ELM ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-3132
Country : US
Telephone Number : 270-826-8761
Fax Number : 270-826-8737
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2015
Last Update Date : 10/27/2025

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