Organization
MONTY SHULTZ COUNSELING & NEUROFEEDBACK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONTY SHULTZ LICSW (PRESIDENT)
(308) 627-6119
Entity
Organization
Contact information
Practice address
141 S MCCORMICK ST STE 100, PRESCOTT, AZ 86303-4730
(308) 627-4743
(928) 852-0804
Mailing address
141 S MCCORMICK ST STE 100, PRESCOTT, AZ 86303-4730
(308) 627-4743
(928) 852-0804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
1219
NE
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026398900
—
NE
01
—
1219
LICENSED INDEPENDENT CLINICAL SOCIAL WORKER
NE
Enumeration date
03/21/2014
Last updated
05/08/2025
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