Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Wade Montgomery, QBHP/CASEMANAGER

Individual provider Case Manager/Care Coordinator · NPI 1265253272

Justin Wade Montgomery, QBHP/CASEMANAGER is a Case Manager/Care Coordinator in Mammoth Spring, Arkansas. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1355 Tate Ave
Mammoth Spring, AR 72554-8064
Phone: (870) 625-0273
Fax: (870) 625-0275
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1265253272
Entity typeIndividual (Type 1)
GenderMale
Credentials QBHP/CASEMANAGER
Sole proprietorNo
NPI enumeratedOctober 22, 2024
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024

Other providers in Mammoth Spring