Provider Demographics
NPI:1437808425
Name:MONGE CORTES, MILITZA N/A (LMSW)
Entity type:Individual
Prefix:
First Name:MILITZA
Middle Name:N/A
Last Name:MONGE CORTES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:MILITZA
Other - Middle Name:
Other - Last Name:MONGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8035 W ALBENIZ PL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85043-1698
Mailing Address - Country:US
Mailing Address - Phone:928-246-9942
Mailing Address - Fax:
Practice Address - Street 1:9015 N 3RD ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2444
Practice Address - Country:US
Practice Address - Phone:480-882-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor