Provider Demographics
NPI:1548970585
Name:MONTENEGRO, ELIZABETH HILDA (MA, LPC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:HILDA
Last Name:MONTENEGRO
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6416 GIRARD AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45213-1224
Mailing Address - Country:US
Mailing Address - Phone:216-410-9385
Mailing Address - Fax:
Practice Address - Street 1:135 MERCHANT ST STE 110
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3734
Practice Address - Country:US
Practice Address - Phone:513-999-5506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-30
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2406076101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health