MS. DWAN T MONTGOMERY (NPI# 1417071077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417071077 |
| Entity Type | Individual |
| Full Name | MS. DWAN T MONTGOMERY |
| Credential | LPC |
| Practice Address |
1309 Northup St Suite D Reidsville NC 27320-5611 |
| Mailing Address |
Po Box 14 Eden NC 27289-0014 |
| Practice Telephone | 7048080400 |
| Practice Fax Number | 3367914480 |
| Mailing Telephone | 7048080400 |
| Mailing Fax Number | 3367914480 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6488 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6005887 | 05 |
| Street Address |
1309 NORTHUP ST SUITE D |
| City | REIDSVILLE |
| State | NC |
| Zip Code | 27320-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184851057 | Youth Empowerment Services of Nc | Community/Behavioral Health | 1309 Northup St, G H I, Reidsville, NC 27320-5611 | 2009-06-17 |
| 1780834382 | Trucare Behavioral Health Services, L.l.p. | Counselor | 1309 Northup St, Suite D, Reidsville, NC 27320-5611 | 2008-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1538796966 | Dabney Varner Porter | Speech-Language Pathologist | 613 S. Main St., Reidsville, NC 27320 | 2020-03-25 |
| 1053868463 | Marlon Nolen | Social Worker | 425 Nc-65, Reidsville, NC 27320 | 2016-09-01 |
| 1659741346 | Gepernard Tania Polidor | Social Worker | 405 Nc-65, Reidsville, NC 27320 | 2015-10-07 |
| 1548687064 | Angel Allen | Skilled Nursing Facility | 255 Penn Lake Dr, Reidsville, NC 27320 | 2014-03-21 |
| 1801234844 | Remmsco | Substance Abuse Rehabilitation Facility | 106 N. Franklin St, Reidsville, NC 27320 | 2013-06-12 |
| 1861733669 | The Free Clinic of Rockingham County, Inc | Clinic/Center | 315 S. Main Street, Reidsville, NC 27320 | 2013-03-05 |
| 1396094173 | Helen Elizabeth Brooks | Nurse Practitioner | 502 South Scales Street, Reidsville, NC 27320 | 2012-09-07 |
| 1952650327 | Ashlee Place | Assisted Living Facility | 538 Warriner Street, Reidsville, NC 27320 | 2012-08-31 |
| 1558638536 | Tracey Caroline Cook | Pharmacist | 1623 Way, Reidsville, NC 27320 | 2011-11-19 |
| Find all providers in zip 27320 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447487772 | Emily Carter Petersen | Counselor | 8806 Nc Highway 87, Reidsville, NC 27320-7363 | 2009-06-13 |
| 1275779498 | Daymark Recovery Services Inc | Counselor | 405 Nc Highway 65, Reidsville, NC 27320 | 2008-12-17 |
| 1063694404 | Ihori Kameyama | Counselor | 150 Memorial Dr., Reidsville, GA 30453 | 2007-11-28 |
| 1700080801 | Thea Vondracek | Counselor | 1309 Coach Rd, Reidsville, NC 27320-5536 | 2007-06-13 |
| 1518082403 | Martha Sample Loftis | Counselor | 3813 Iron Works Rd, Reidsville, NC 27320-8420 | 2007-03-20 |
| 1831742410 | Elizabeth Danielle Gainey | Counselor | 405 Nc 65, Reidsville, NC 27320-8882 | 2019-07-22 |
| 1548738339 | Dustin Luke Gantos | Counselor | 229 Turner Dr, Reidsville, NC 27320-5736 | 2018-11-09 |
| 1093166720 | Valerie Pearman | Counselor | 513 S Main St, Suite 200, Reidsville, NC 27320-5002 | 2016-06-23 |
| 1851771299 | Tashea R Cheeks | Counselor | 405 Nc 65, Reidsville, NC 27230 | 2015-06-01 |
| 1326353368 | Cynthia Cristin Jackson | Counselor | 1309 Coach Rd, Reidsville, NC 27320-5536 | 2010-08-14 |
| Find all providers in REIDSVILLE | ||||
| City | REIDSVILLE |
| Zip Code | 27320 |
Please comment or provide details below to improve the information on MS. DWAN T 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.