Basic Information
| Provider Information | |||||||||
| NPI: | 1689271462 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MONTANO | ||||||||
| FirstName: | LINDSEY | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LPC, LGPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3155 ELBEE RD | ||||||||
| Address2: | |||||||||
| City: | MORAINE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454390011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9375341369 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 21 INDUSTRIAL PARK DR STE 104D | ||||||||
| Address2: | |||||||||
| City: | WALDORF | ||||||||
| State: | MD | ||||||||
| PostalCode: | 206022751 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3018180030 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2020 | ||||||||
| LastUpdateDate: | 11/02/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | C.2103889 | OH | N | Behavioral Health & Social Service Providers | Counselor | 101YM0800X | OH | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YM0800X | LGP13280 | MD | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.