Provider Demographics
NPI:1164503579
Name:MONSON COUNSELING PLLC
Entity Type:Organization
Organization Name:MONSON COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:DIANNE
Authorized Official - Last Name:MONSON
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC, HYPNO
Authorized Official - Phone:479-426-5110
Mailing Address - Street 1:PO BOX 8654
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-0011
Mailing Address - Country:US
Mailing Address - Phone:479-426-5110
Mailing Address - Fax:
Practice Address - Street 1:6801 ISAACS ORCHARD RD
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-6545
Practice Address - Country:US
Practice Address - Phone:479-426-5110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health