Provider Demographics
NPI:1114404704
Name:MONUMENTS ACADEMY LLC
Entity Type:Organization
Organization Name:MONUMENTS ACADEMY LLC
Other - Org Name:MONUMENTS RTC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTLETT
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:801-380-4390
Mailing Address - Street 1:150 N 200 E STE 200
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-2514
Mailing Address - Country:US
Mailing Address - Phone:435-673-9479
Mailing Address - Fax:
Practice Address - Street 1:1990 DRY LAKES ROAD
Practice Address - Street 2:
Practice Address - City:BRIAN HEAD
Practice Address - State:UT
Practice Address - Zip Code:84719
Practice Address - Country:US
Practice Address - Phone:800-559-1980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilityGroup - Single Specialty
No364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & AdolescentGroup - Single Specialty