Provider Demographics
NPI:1609563824
Name:MONARCH MENTAL HEALTH LLC
Entity type:Organization
Organization Name:MONARCH MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:WEBER-MADISON
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:563-293-6989
Mailing Address - Street 1:1035 LINCOLN RD STE 210
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-4149
Mailing Address - Country:US
Mailing Address - Phone:563-293-6989
Mailing Address - Fax:563-200-1240
Practice Address - Street 1:1035 LINCOLN RD STE 210
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-4149
Practice Address - Country:US
Practice Address - Phone:563-293-6989
Practice Address - Fax:563-200-1240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty