Provider Demographics
NPI:1891551271
Name:SAINT JAMES, MONTRAY CLIFF (PLPC)
Entity Type:Individual
Prefix:
First Name:MONTRAY
Middle Name:CLIFF
Last Name:SAINT JAMES
Suffix:
Gender:M
Credentials:PLPC
Other - Prefix:
Other - First Name:MONTRAY
Other - Middle Name:LADARRELL
Other - Last Name:WYATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PLPC
Mailing Address - Street 1:2329 EDENBORN AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-1815
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2329 EDENBORN AVE
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1815
Practice Address - Country:US
Practice Address - Phone:504-285-0546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC9572101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor