MRS. KRISHAWNA ELAINE MONTGOMERY (NPI# 1083987481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083987481 |
| Entity Type | Individual |
| Full Name | MRS. KRISHAWNA ELAINE MONTGOMERY |
| Credential | LPC, NCC |
| Practice Address |
501 Mize Street Lookout Mountain Community Services Lafayette GA 30728 |
| Mailing Address |
51 Crosscreek Dr Nw Rome GA 30165-1202 |
| Practice Telephone | 7066385580 |
| Practice Fax Number | 7066385445 |
| Mailing Telephone | 7063312235 |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC008188 | GA | Behavioral Health & Social Service Providers |
| Street Address |
501 MIZE STREET LOOKOUT MOUNTAIN COMMUNITY SERVICES |
| City | LAFAYETTE |
| State | GA |
| Zip Code | 30728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395620 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 8a Probasco Street Unit 214, Lafayette, GA 30728 | 2020-10-30 |
| 1891358750 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 311 North Main Street, Lafayette, GA 30728 | 2019-04-17 |
| 1023505914 | Heather Staton | Pharmacist | 324 W. Patton Street, Lafayette, GA 30728 | 2018-04-17 |
| 1023484805 | Tyler Kellum Levie | Dentist | 201 E. Villanow Street, Lafayette, GA 30728 | 2015-08-17 |
| 1346518198 | William Randall Smith | Behavioral Analyst | 902 Daugherty Street, Lafayette, GA 30728 | 2011-12-08 |
| 1821321506 | John H Rockwell | Contractor | 143 Golden Oaks Dr, La Fayette, GA 30728 | 2009-09-11 |
| 1619113057 | Lookout Mountain Community Services | Community/Behavioral Health | 43 Shady Court, Lafayette, GA 30728 | 2009-01-06 |
| 1326212705 | Lookout Mountain Community Services | Community/Behavioral Health | 1218 Chattanooga St., Lafayette, GA 30728 | 2008-04-17 |
| 1649444084 | Lookout Mountain Community Services | Community/Behavioral Health | 29 Mae Tucker Rd., Lafayette, GA 30728 | 2008-04-16 |
| 1730353178 | Lookout Mountain Community Service | Community/Behavioral Health | 322 New Hope Road, Lafayette, GA 30728 | 2008-04-16 |
| Find all providers in zip 30728 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049926 | Lindsay Blair Charles | Counselor | 100 Saw Mill Rd Ste 3300, Lafayette, IN 47905-5598 | 2020-10-07 |
| 1346701711 | Lacie Chappuis | Counselor | 143 Ridgeway Dr Ste 303, Lafayette, LA 70503-3410 | 2019-03-28 |
| 1518427434 | Janice Weber | Counselor | 143 Ridgeway Dr Ste 201, Lafayette, LA 70503-3414 | 2019-03-25 |
| 1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
| 1770051005 | Kerri Prejean | Counselor | 850 Kaliste Saloom Rd Ste 218, Lafayette, LA 70508-4230 | 2018-11-05 |
| 1750884094 | Courtney Miller | Counselor | 3112 W Pinhook Rd Ste B, Lafayette, LA 70508-3443 | 2018-03-13 |
| 1962913970 | Heather Cook | Counselor | 400 E Simpson St Ste 104, Lafayette, CO 80026-2359 | 2017-10-17 |
| 1851801377 | Wanda Faye Ventress | Counselor | 130 Chappuis Dr, Lafayette, LA 70501-3656 | 2017-10-11 |
| 1376901272 | Elizabeth Baumer | Counselor | 93 Magnate Drive, Lafayette, LA 70508 | 2016-02-05 |
| 1497120927 | Veronicle Lorena Guillory | Counselor | 412 Timber Creek Dr, Lafayette, LA 70506-5055 | 2015-12-09 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on MRS. KRISHAWNA ELAINE MONTGOMERY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.