Montgomery, Mimose

Montgomery, Mimose is an individual health care provider with primary practice located at 3160 Powerline Rd , Oakland Park FL 33309-5911. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Montgomery, Mimose can be contacted via phone (305) 576-1234.

Contact Information

Primary practice address
3160 Powerline Rd Oakland Park FL 33309-5911
Phone: (305) 576-1234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW21589 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW21589 Florida

Profile Details

NPI number 1922513860
LBN Legal business name Montgomery, Mimose
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2017
Last updated Aug 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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