Provider Demographics
NPI:1437465937
Name:BRAVO-MONTES, JOHANNA (LMFT)
Entity type:Individual
Prefix:
First Name:JOHANNA
Middle Name:
Last Name:BRAVO-MONTES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3166 LANCER LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-7675
Mailing Address - Country:US
Mailing Address - Phone:619-207-3978
Mailing Address - Fax:
Practice Address - Street 1:3166 LANCER LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-7675
Practice Address - Country:US
Practice Address - Phone:619-207-3978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-23
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105579106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist