Provider Demographics
NPI:1134819030
Name:MONTEZ, ASHLEY LINDSAY (MS, LMFT-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LINDSAY
Last Name:MONTEZ
Suffix:
Gender:F
Credentials:MS, LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 DRY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-7168
Mailing Address - Country:US
Mailing Address - Phone:334-324-7416
Mailing Address - Fax:
Practice Address - Street 1:2201 S W S YOUNG DR STE 114-A104
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-5375
Practice Address - Country:US
Practice Address - Phone:334-324-7416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205023106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist