Provider Demographics
NPI:1497265714
Name:VON EGGERS, MONICA (PHD, LPC, LISAC, NCC)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:VON EGGERS
Suffix:
Gender:F
Credentials:PHD, LPC, LISAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17621 W BABBITT DR
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-3010
Mailing Address - Country:US
Mailing Address - Phone:760-974-6879
Mailing Address - Fax:
Practice Address - Street 1:4539 N 22ND ST STE 200
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4661
Practice Address - Country:US
Practice Address - Phone:480-341-0017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
91286101Y00000X
AZ11839101YA0400X
AZ13298101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional