Provider Demographics
NPI:1225127210
Name:MONTANARI, LINDA (LMFT, ATR-BC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:MONTANARI
Suffix:
Gender:F
Credentials:LMFT, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 BUCHANAN ST
Mailing Address - Street 2:910
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-1202
Mailing Address - Country:US
Mailing Address - Phone:954-673-3197
Mailing Address - Fax:
Practice Address - Street 1:322 BUCHANAN ST
Practice Address - Street 2:910
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33019-1202
Practice Address - Country:US
Practice Address - Phone:954-673-3197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1825106H00000X
CT91-150221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist