Organization
MONTGOMERY COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MONTGOMERY (CEO)
(321) 313-2965
Entity
Organization
Contact information
Practice address
3445 SPRING BRANCH TRL APT 163, MELBOURNE, FL 32935-5786
(321) 313-2965
Mailing address
3682 N WICKHAM RD STE B1, #227, MELBOURNE, FL 32935
(321) 758-1432
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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