TAKARA DASHELLE MONTGOMERY (NPI# 1245779891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245779891 |
| Entity Type | Individual |
| Full Name | TAKARA DASHELLE MONTGOMERY |
| Credential | L.L.P.C. |
| Practice Address |
17272 Olympia Redford MI 48240-2166 |
| Practice Telephone | 3132053300 |
| Mailing Telephone | 3132053300 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401015824 | MI | Behavioral Health & Social Service Providers |
| Street Address |
17272 OLYMPIA |
| City | REDFORD |
| State | MI |
| Zip Code | 48240-2166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134775240 | Peak Function Physical Therapy and Sports Performance | Physical Therapist | 16285 Pomona Drive, Redford, MI 48240 | 2019-08-14 |
| 1861050361 | Hala's Pharmacy | Pharmacy | 25735 Eight Mile Rd, Redford, MI 48240 | 2019-05-31 |
| 1215382312 | Infinity & Beyond L. C. | In Home Supportive Care | 19182 Wakenden, Redford, MI 48240 | 2016-04-27 |
| 1578828224 | Bryan Robert Anderson | Internal Medicine | 18503 Gaylord Rd., Redford, MI 48240 | 2012-07-09 |
| 1558633818 | Lidija Filipovska-smith | Dentist | 25106 West Six Mile Rd., Redford, MI 48240 | 2012-02-02 |
| 1790080968 | Love Covers All | Point of Service | 20449 Dalby, Redford, MI 48240 | 2011-01-20 |
| 1104049261 | Linda M. Thornton | Counselor | 26520 Grand River Ave. Suite 107, Redford, MI 48240 | 2007-04-10 |
| 1689739690 | Sunrise Family Dental Care | Dentist | 25900 West Six Mile, Redford, MI 48240 | 2006-12-27 |
| 1811540230 | Local Pharmacy, Inc | Pharmacy | 25241 Grand River Ave, Redford, MI 48240 | 2019-07-24 |
| 1619044237 | Dental Inc | Dentist | 25225 W 7 Mile Rd, Suite 200, Redford, MI 48240 | 2006-11-29 |
| Find all providers in zip 48240 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262768 | Alonzo Mccann | Counselor | 9112 Virgil, Redford, MI 48239-1256 | 2019-12-14 |
| 1912386822 | Sherrice White-johnson | Counselor | 14383 Fenton, Redford, MI 48239-3302 | 2015-05-26 |
| 1992193999 | Carla Black | Counselor | 19335 Centralia, Redford, MI 48240-1410 | 2014-12-30 |
| 1194129585 | Chiara Coburn-dees | Counselor | 13232 Tecumseh, Redford, MI 48239-4617 | 2014-10-14 |
| 1659689990 | Vida Ann-nicholas Fiorentino | Counselor | 12908 Dixie, Redford, MI 48239-2676 | 2010-09-21 |
| 1831419530 | Felicia Jackson | Counselor | 24755 5 Mile Rd Ste 107, Redford, MI 48239-3665 | 2010-06-03 |
| 1548459365 | Andrea Helene Guertin | Counselor | 17346 Beech Daly Rd, Redford, MI 48240-2221 | 2007-10-17 |
| 1104049261 | Linda M. Thornton | Counselor | 26520 Grand River Ave. Suite 107, Redford, MI 48240 | 2007-04-10 |
| 1104974245 | David R Monroe | Counselor | 26505 W Chicago, Redford, MI 48239-2228 | 2007-01-08 |
| 1174076541 | Stephany Latham | Counselor | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2016-08-02 |
| Find all providers in REDFORD | ||||
Please comment or provide details below to improve the information on TAKARA DASHELLE MONTGOMERY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.