Provider Demographics
NPI:1265059802
Name:MONTOOTH, MARION CURTIS II (LMFT)
Entity type:Individual
Prefix:MR
First Name:MARION
Middle Name:CURTIS
Last Name:MONTOOTH
Suffix:II
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-3240
Mailing Address - Country:US
Mailing Address - Phone:502-209-8024
Mailing Address - Fax:
Practice Address - Street 1:124 WALNUT ST
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-3240
Practice Address - Country:US
Practice Address - Phone:502-209-8024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY278294106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist