Provider Demographics
NPI:1205665270
Name:MONTOYA, CASANDRA DARLIN (LPC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:CASANDRA
Middle Name:DARLIN
Last Name:MONTOYA
Suffix:
Gender:F
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:CASANDRA
Other - Middle Name:LYNN
Other - Last Name:DARLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4914 HARVARD ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-5804
Mailing Address - Country:US
Mailing Address - Phone:325-207-7331
Mailing Address - Fax:
Practice Address - Street 1:3611 S GEORGIA ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-4847
Practice Address - Country:US
Practice Address - Phone:325-207-7331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87660101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional