# MONTGOMERY MENTAL HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578360020
- **Authorized official:** LOGAN MARSHALL MONTGOMERY MA, LMHC (OWNER / OPERATOR)
- **Authorized official phone:** (812) 767-2334

## Contact information

- **Practice address:** 2225 CENTRAL AVE STE 3, COLUMBUS, IN 47201-4488
- **Practice address phone:** (812) 767-2334
- **Mailing address:** 2225 CENTRAL AVE STE 3, COLUMBUS, IN 47201-4488
- **Mailing address phone:** (812) 767-2334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2025
- **Last updated:** 06/02/2025