Provider Demographics
NPI:1639834385
Name:VELEZ, MONTORIA DAWN
Entity type:Individual
Prefix:
First Name:MONTORIA
Middle Name:DAWN
Last Name:VELEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MONTORIA
Other - Middle Name:DAWN
Other - Last Name:WORKCUFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17920 HUFFMEISTER RD STE 150
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6445
Mailing Address - Country:US
Mailing Address - Phone:832-926-8949
Mailing Address - Fax:
Practice Address - Street 1:4611 SHANE CREEK LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-5279
Practice Address - Country:US
Practice Address - Phone:832-926-8949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-07
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty