Individual
MONICA S MONTGOMERY-LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP,LPC, LMHC
Contact information
Practice address
3825 AMES AVE, OMAHA, NE 68111-2236
(402) 320-3566
(402) 939-0755
Mailing address
3825 AMES AVE, OMAHA, NE 68111-2236
(402) 320-3566
(402) 939-0755
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3169
NE
101YM0800X
Mental Health Counselor
Primary
690
NE
101YP2500X
Professional Counselor
1642
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100025293500
—
NE
Enumeration date
02/21/2007
Last updated
10/27/2016
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