Provider Demographics
NPI:1518086958
Name:MONTANO, MARITZA (LMHC)
Entity Type:Individual
Prefix:
First Name:MARITZA
Middle Name:
Last Name:MONTANO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 415062
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-5062
Mailing Address - Country:US
Mailing Address - Phone:305-822-1600
Mailing Address - Fax:305-818-2387
Practice Address - Street 1:16969 NW 67TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-4214
Practice Address - Country:US
Practice Address - Phone:305-822-1600
Practice Address - Fax:305-818-2387
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH0002669101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health