Provider Demographics
NPI:1417768532
Name:MONTFORT, EVELYN (LMHC)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:
Last Name:MONTFORT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 S PINE AVE
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34452-4838
Mailing Address - Country:US
Mailing Address - Phone:352-476-4584
Mailing Address - Fax:
Practice Address - Street 1:216 S PINE AVE
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34452-4838
Practice Address - Country:US
Practice Address - Phone:352-476-4584
Practice Address - Fax:866-452-2717
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH-3701101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health