Provider Demographics
NPI:1508582313
Name:TMG HEALTHCARE CORP
Entity Type:Organization
Organization Name:TMG HEALTHCARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:J
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTANO
Authorized Official - Suffix:JR
Authorized Official - Credentials:LCSW, PHD
Authorized Official - Phone:850-725-5563
Mailing Address - Street 1:182 N PALAFOX ST
Mailing Address - Street 2:STE 104
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32502-4839
Mailing Address - Country:US
Mailing Address - Phone:850-725-5563
Mailing Address - Fax:850-331-6656
Practice Address - Street 1:182 N PALAFOX ST
Practice Address - Street 2:STE 104
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32502-4839
Practice Address - Country:US
Practice Address - Phone:850-725-5563
Practice Address - Fax:850-331-6656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty