Provider Demographics
NPI:1770648149
Name:DENISE MONTALVO, LPC, NCC, P.A.
Entity Type:Organization
Organization Name:DENISE MONTALVO, LPC, NCC, P.A.
Other - Org Name:IN SESSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTALVO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:915-760-8999
Mailing Address - Street 1:6044 GATEWAY BLVD E
Mailing Address - Street 2:SUITE 368
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2023
Mailing Address - Country:US
Mailing Address - Phone:915-760-8999
Mailing Address - Fax:915-760-8998
Practice Address - Street 1:6044 GATEWAY BLVD E
Practice Address - Street 2:SUITE 368
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2023
Practice Address - Country:US
Practice Address - Phone:915-760-8999
Practice Address - Fax:915-760-8998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19440305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7074LCOtherBLUE CROSS BLUE SHIELD