| Doctor Name: | AYNGI MONTGOMERY |
| NPI Number: | 1659592277 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED M.DIV LPC NCC |
| License Number: | 4100 |
| Business Practice Address: | 1305 N Highway 66 Suite B Catoosa, OK - 740152460 |
| Business Phone Number: | 9188529644 |
| Business Fax Number: | |
| Mailing Address: | Po Box 700082, TULSA |
| State: | OK |
| Postal Code: | 741700082 |
| Phone Number: | 9188529644 |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 03/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 4100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |