Montgomery Lee Brock, LCDC, LPC is a
Counselor - Mental Health based in Ore City, Texas. Montgomery Lee Brock is licensed to practice in Texas (license number 84228) and his current practice location is
213 Us Highway 259 N, Ore City, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 714-4463.
NPI number for Montgomery Lee Brock is 1275330581 and his current mailing address is 3839 Briargrove Ln Apt 11203, Dallas, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275330581.
Healthcare Provider's Profile
Full Name | Montgomery Lee Brock |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 213 Us Highway 259 N, Ore City, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275330581
- Provider Enumeration Date: 02/26/2025
- Last Update Date: 02/26/2025
Medical Identifiers
Medical identifiers for Montgomery Lee Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275330581 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 84228 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Montgomery Lee Brock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Montgomery Lee Brock, LCDC, LPC 3839 Briargrove Ln Apt 11203, Dallas, TX 75287-6388 Ph: (903) 714-4463 | Montgomery Lee Brock, LCDC, LPC 213 Us Highway 259 N, Ore City, TX 75683-2106 Ph: (903) 714-4463 |
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