Individual
TAMMY WYNETT MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MENTAL HEALTH
Contact information
Practice address
34 MISTY FOREST DR, PHENIX CITY, AL 36869-7987
(580) 917-6584
Mailing address
233 12TH ST STE 801, COLUMBUS, GA 31901-2485
(706) 619-2869
(706) 739-4815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
GA
Other
Enumeration date
10/23/2017
Last updated
04/12/2023
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