Individual provider · Type 1 NPI

Lori Runyan Montgomery, LPC-A

Professional Counselor · Grapevine, TX

NPI number 1104592252 Active

Practice location

1452 Hughes Rd Ste 200
Grapevine, TX 76051-9221

Mailing address

1240 Robin Dr
Keller, TX 76262-9301

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X86683 (TX)

Professional Counselor: Definition to come...

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About NPI 1104592252

Lori Runyan Montgomery, LPC-A's National Provider Identifier is 1104592252, issued on Aug 18, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grapevine, TX. The record was last updated on Aug 18, 2021.