Montgomery, Tamela Jean

Montgomery, Tamela Jean is an sole proprietor health care provider with primary practice located at 829 Halbert St , Malvern AR 72104-2607. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Montgomery, Tamela Jean can be contacted via phone (501) 332-4400.

Contact Information

Primary practice address
829 Halbert St Malvern AR 72104-2607
Phone: (501) 332-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P1405050 Arkansas

Profile Details

NPI number 1366630378
LBN Legal business name Montgomery, Tamela Jean
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2007
Last updated Jun 16th, 2018 - about 6 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 1366630378 NPPES
Arkansas Other 1366630378 UNITED HEALTHCARE BCBS
Arkansas Other 1366630378 UNITED HEALTHCARE BCBS

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