Doctor Name: | AMY M MONTEITH |
NPI Number: | 1003160185 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | CDCA 111551 |
Business Practice Address: | 601 S Edwin C Moses Blvd Samaritan Behavioral Health, Inc. Dayton, OH - 454173424 |
Business Phone Number: | 9377348333 |
Business Fax Number: | 9377344343 |
Mailing Address: | 601 S Edwin C Moses Blvd, Samaritan Behavioral Health, Inc. DAYTON |
State: | OH |
Postal Code: | 454173424 |
Phone Number: | 9377348333 |
Fax Number: | 9377344343 |
NPI Enumeration Date: | 10/29/2012 |
NPI Last Update Date: | 09/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CDCA 111551 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |