Provider Demographics
NPI:1891491015
Name:MONTGOMERY, ZION (LMFT-A)
Entity Type:Individual
Prefix:
First Name:ZION
Middle Name:
Last Name:MONTGOMERY
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 GREG LN
Mailing Address - Street 2:
Mailing Address - City:JARRELL
Mailing Address - State:TX
Mailing Address - Zip Code:76537-1685
Mailing Address - Country:US
Mailing Address - Phone:770-776-8243
Mailing Address - Fax:
Practice Address - Street 1:160 GREG LN
Practice Address - Street 2:
Practice Address - City:JARRELL
Practice Address - State:TX
Practice Address - Zip Code:76537-1685
Practice Address - Country:US
Practice Address - Phone:770-776-8243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204657106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist