Montgomery, Lisa M

Montgomery, Lisa M is an sole proprietor health care provider with primary practice located at 125 S Main Cross St , Louisa KY 41230-1065. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Montgomery, Lisa M can be contacted via phone (606) 638-0938.

Contact Information

Primary practice address
125 S Main Cross St Louisa KY 41230-1065
Phone: (606) 638-0938
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 104645 Kentucky

Profile Details

NPI number 1952623373
LBN Legal business name Montgomery, Lisa M
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2010
Last updated May 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952623373 NPPES
Kentucky MEDICAID 7100293420

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