Search › Ohio › 171M00000X
Marissa Montgomery
NPI 1154849990 · on the registry since 2017 · sole proprietor
Practice
- Address
- 902 Gallia St
Portsmouth, OH 45662 - Phone
- (740) 529-2125
- Organisation at this address
- Phoenix Group Home, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 59
Additional practice sites
- 10921 Reed Hartman Hwy Ste 133, Blue Ash, OH
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 104100000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio