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

Samuel Austin Montgomery

Individual provider Counselor · NPI 1760139638

Samuel Austin Montgomery is a Counselor in Fenton, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

110 Trealout Dr Ste 103
Fenton, MI 48430-1402
Phone: (248) 812-9046
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6362009401 (MI)
Counselor Taxonomy 101Y00000X · Licence 6451021910 (MI)

Record details

NPI number1760139638
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 9, 2022
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022
Mailing address6901 Chesterfield, Waterford, MI 48327-3528

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