Provider Demographics
NPI:1114291614
Name:MONARCH COUNSELING LLC
Entity Type:Organization
Organization Name:MONARCH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ADAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:LLC
Authorized Official - Phone:801-510-9081
Mailing Address - Street 1:3340 HARRISON BLVD
Mailing Address - Street 2:SUITE #220
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-1200
Mailing Address - Country:US
Mailing Address - Phone:801-510-9081
Mailing Address - Fax:
Practice Address - Street 1:3340 HARRISON BLVD
Practice Address - Street 2:SUITE #220
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-1200
Practice Address - Country:US
Practice Address - Phone:801-510-9081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT67811516004251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health