Provider Demographics
NPI:1114139177
Name:MONTANO, AURORA PAL (LPC)
Entity Type:Individual
Prefix:DR
First Name:AURORA
Middle Name:PAL
Last Name:MONTANO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8130 COLLIER RD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-5214
Mailing Address - Country:US
Mailing Address - Phone:409-454-7569
Mailing Address - Fax:409-860-4737
Practice Address - Street 1:3420 FANNIN ST STE 210
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-3800
Practice Address - Country:US
Practice Address - Phone:409-454-7569
Practice Address - Fax:409-860-4737
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YM0800X
TX13795101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0956708-02Medicaid