Tatum Marie Montoya

Individual provider Active NPI Mental Health Counselor · Gatlinburg, TN

NPI 1154096493 · NPPES record last updated Nov 12, 2024

Key facts

NPI
1154096493
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
LMHC10000121 (MA)
Practice address
272 Palmer Road
Gatlinburg, TN 37738-4115
Phone
(774) 644-6702
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LMHC10000121MAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X LMHC10000121 MA Yes

Addresses

Primary practice location

272 Palmer Road
Gatlinburg, TN 37738-4115

Mailing address

272 Palmer Road
Gatlinburg, TN 37738-4115
Phone (774) 644-6702

Other names

  • Tatum M Roberge Former name

Other providers in Gatlinburg, TN

All providers in Gatlinburg, TN · Mental Health Counselor in Tennessee

Sources for this page

Verify at the official NPI Registry.