Provider Demographics
NPI:1134983521
Name:MONTGOMERY, KATHERINE CLARE (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:CLARE
Last Name:MONTGOMERY
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 WOOD HOLLOW DR APT 13306
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-1636
Mailing Address - Country:US
Mailing Address - Phone:713-392-7562
Mailing Address - Fax:
Practice Address - Street 1:8588 KATY FWY STE 440A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1872
Practice Address - Country:US
Practice Address - Phone:346-330-2982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92663101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health