Provider Demographics
NPI:1609971498
Name:MONTEZ, ANTHONY PAUL (MS, LPC)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:PAUL
Last Name:MONTEZ
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6262 WEBER RD.
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-4031
Mailing Address - Country:US
Mailing Address - Phone:361-991-2214
Mailing Address - Fax:361-225-3225
Practice Address - Street 1:6262 WEBER RD
Practice Address - Street 2:SUITE 210
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-4006
Practice Address - Country:US
Practice Address - Phone:361-991-2214
Practice Address - Fax:361-225-3225
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14233101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health