Provider Demographics
NPI:1548637341
Name:MONTANYE, GINA (BS)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:MONTANYE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3351 E 120TH AVE UNIT 14-204
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233-1586
Mailing Address - Country:US
Mailing Address - Phone:303-817-9507
Mailing Address - Fax:
Practice Address - Street 1:3351 E 120TH AVE UNIT 14-204
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-1586
Practice Address - Country:US
Practice Address - Phone:303-817-9507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-27
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker