Montgomery, Darla Jo
Montgomery, Darla Jo is an sole proprietor health care provider with primary practice located at 710 Denver Street , Wichita Falls TX 76301. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Montgomery, Darla Jo can be contacted via phone (940) 322-5712.Contact Information
Primary practice address
710 Denver Street
Wichita Falls TX 76301
Phone: (940) 322-5712
Fax: (940) 761-5836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 18939 | Texas |
Profile Details
| NPI number | 1063507622 |
|---|---|
| LBN Legal business name | Montgomery, Darla Jo |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063507622 | NPPES |
| Texas | Other | 6645LC | BLUE CROSS BLUE SHIELD |
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