MONTGOMERY WELLNESS PLLC (NPI# 1952951774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952951774 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY WELLNESS PLLC |
| Practice Address |
16955 Walden Rd Ste 109 Montgomery TX 77356-3228 |
| Practice Telephone | 9363337020 |
| Practice Fax Number | 8338768886 |
| Mailing Telephone | 9363337020 |
| Mailing Fax Number | 8338768886 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-10-23 |
| Authorized Official Name | MR. JACK CHARLES COMEAUX JR. (MANAGING DIRECTOR) |
| Authorized Official Telephone | 9363337020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
16955 WALDEN RD STE 109 |
| City | MONTGOMERY |
| State | TX |
| Zip Code | 77356-3228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255806121 | Shannon Fives Stringer | Marriage & Family Therapist | 16955 Walden Rd Ste 109, Montgomery, TX 77356-3228 | 2018-10-08 |
| 1245793835 | Joni Villemez Comeaux | Counselor | 16955 Walden Rd Ste 109, Montgomery, TX 77356 | 2019-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919490 | Age Well Concierge Medicine | Family Medicine | 18441 Tx-105, Suite B, Montgomery, TX 77356 | 2020-07-21 |
| 1912549908 | Kindra Siewood | Speech-Language Pathologist | 15320 Tx-105 W, Suite 116, Montgomery, TX 77356 | 2019-10-11 |
| 1710545595 | Vaughn Motley Bryant IIi | Counselor | 14740 Liberty Street, Montgomery, TX 77356 | 2019-06-05 |
| 1871157420 | Belinda Kay Warren Delapena | Counselor | 3507 Whittier, Montgomery, TX 77356 | 2019-04-30 |
| 1841760071 | Cvs Pharmacy Inc | Pharmacy | 20125 Eva Street, Montgomery, TX 77356 | 2018-11-30 |
| 1750863429 | Kristina Lynn Knighten | Specialist/Technologist | 3602 Woodland Lane, Montgomery, TX 77356 | 2018-08-30 |
| 1770072415 | Crosby Pharmacy & Wellness, LLC | Pharmacy | 18446 Tx - 105 Ste D, Montgomery, TX 77356 | 2018-05-08 |
| 1760999726 | Everbright Dental Pllc | Dentist | 20212 Eva St., #160, Montgomery, TX 77356 | 2017-12-29 |
| 1821535261 | Ramon Campbell | Nurse Practitioner | 108 Harbour Town Drive, Montgomery, TX 77356 | 2017-01-24 |
| 1447628995 | Erica Everett | Nurse Practitioner | 110 April Wind Ct, Montgomery, TX 77356 | 2015-09-14 |
| Find all providers in zip 77356 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992143 | Sheri Lynn Brown | Counselor | 11803 Briarwood Ln, Montgomery, TX 77356-5496 | 2020-11-04 |
| 1366069528 | Jenikke D Rozell | Counselor | 4135 Carmichael Rd Ste 320, Montgomery, AL 36106-3605 | 2020-07-02 |
| 1538782669 | Melissa S Moore | Counselor | 882 Plantation Way Ste C, Montgomery, AL 36117-2217 | 2020-05-23 |
| 1659994770 | Keiera Russell | Counselor | 1212 Azalea Park Ln, Montgomery, AL 36106-3278 | 2020-05-22 |
| 1508486812 | Tonda Denise West | Counselor | 230 Mendel Pkwy E Ste E, Montgomery, AL 36117-5404 | 2020-04-16 |
| 1215561162 | Ithaca A Gilbert | Counselor | 6617 Concord Mews, Montgomery, AL 36116-5293 | 2020-03-01 |
| 1942846944 | Colenthia Wright | Counselor | 112 Coliseum Blvd, Montgomery, AL 36109-2708 | 2019-11-25 |
| 1275195695 | Vera Chidima Oluoha-anyanwu | Counselor | 458 N Eastern Blvd, Montgomery, AL 36117-2212 | 2019-07-05 |
| 1497316962 | Lona Snell | Counselor | 22157 Stone Creek Ln, Montgomery, TX 77316-6765 | 2019-06-25 |
| 1881155885 | Marjorie Daphane Sharpe | Counselor | 225 W Wilding Dr, Montgomery, AL 36116-3735 | 2019-03-31 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 77356 |
Please comment or provide details below to improve the information on MONTGOMERY WELLNESS PLLC.
| 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.