Provider Demographics
NPI:1497266787
Name:MONTEZ, ANGELA (LCPC, LAC)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:
Last Name:MONTEZ
Suffix:
Gender:F
Credentials:LCPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 S 27TH ST
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-4227
Mailing Address - Country:US
Mailing Address - Phone:406-247-3350
Mailing Address - Fax:406-247-3389
Practice Address - Street 1:123 S 27TH ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-4227
Practice Address - Country:US
Practice Address - Phone:406-247-3350
Practice Address - Fax:406-247-3389
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-13
Last Update Date:2019-08-16
Deactivation Date:2018-07-19
Deactivation Code:
Reactivation Date:2018-07-31
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LAC-LIC-25485101YA0400X
MTBBH-LCPC-LIC-30837101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)