Lackland Montgomery, Carmenlita

Lackland Montgomery, Carmenlita is an individual health care provider with primary practice located at 1000 N Vandeventer Ave , Saint Louis MO 63113-3459. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Lackland Montgomery, Carmenlita can be contacted via phone (314) 534-6015.

Contact Information

Primary practice address
1000 N Vandeventer Ave Saint Louis MO 63113-3459
Phone: (314) 534-6015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1093433849
LBN Legal business name Lackland Montgomery, Carmenlita
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2022
Last updated Sep 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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