Provider Demographics
NPI:1538649512
Name:MONTES, MARCELA CAROLINA (LPC)
Entity Type:Individual
Prefix:
First Name:MARCELA
Middle Name:CAROLINA
Last Name:MONTES
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 1:249 ENCLAVES CT
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-2122
Mailing Address - Country:US
Mailing Address - Phone:940-367-3576
Mailing Address - Fax:
Practice Address - Street 1:249 ENCLAVES CT
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-2122
Practice Address - Country:US
Practice Address - Phone:940-367-3576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-18
Last Update Date:2018-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65513101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor