Provider Demographics
NPI:1235763814
Name:MONARCH WELLNESS LLC
Entity Type:Organization
Organization Name:MONARCH WELLNESS LLC
Other - Org Name:MONARCH WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROKUS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:507-312-9383
Mailing Address - Street 1:50 W 2ND ST STE 103
Mailing Address - Street 2:
Mailing Address - City:WINONA
Mailing Address - State:MN
Mailing Address - Zip Code:55987-3440
Mailing Address - Country:US
Mailing Address - Phone:507-312-9383
Mailing Address - Fax:
Practice Address - Street 1:50 W 2ND ST STE 103
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987-3440
Practice Address - Country:US
Practice Address - Phone:507-312-9383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-23
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Single Specialty