Ms Carmenlita Lackland Montgomery, is a
Peer Specialist based in Saint Louis, Missouri. Ms Carmenlita Lackland Montgomery is licensed to practice in * (Not Available) (license number ) and her current practice location is
1000 N Vandeventer Ave, Saint Louis, Missouri. She can be reached at her office (for appointments etc.) via phone at
(314) 534-6015.
NPI number for Ms Carmenlita Lackland Montgomery is 1093433849 and her current mailing address is 1430 Olive St Ste 400, Saint Louis, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093433849.
Healthcare Provider's Profile
| Full Name | Ms Carmenlita Lackland Montgomery |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 1000 N Vandeventer Ave, Saint Louis, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1093433849
- Provider Enumeration Date: 08/18/2022
- Last Update Date: 09/06/2022
Medical Identifiers
Medical identifiers for Ms Carmenlita Lackland Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093433849 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TF0200X | Psychologist - Forensic | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Carmenlita Lackland Montgomery is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Carmenlita Lackland Montgomery,
1430 Olive St Ste 400,
Saint Louis, MO 63103-2303
Ph: (314) 206-3700 | Ms Carmenlita Lackland Montgomery,
1000 N Vandeventer Ave,
Saint Louis, MO 63113-3459
Ph: (314) 534-6015 |
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