Provider Demographics
NPI:1508623679
Name:MONUMENTAL HEALTH
Entity Type:Organization
Organization Name:MONUMENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAKEYSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCHENA-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:954-283-7273
Mailing Address - Street 1:924 N MAGNOLIA AVE
Mailing Address - Street 2:STE 202 #1211
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803
Mailing Address - Country:US
Mailing Address - Phone:954-283-7273
Mailing Address - Fax:
Practice Address - Street 1:924 N MAGNOLIA AVE
Practice Address - Street 2:STE 202 #1211
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803
Practice Address - Country:US
Practice Address - Phone:954-283-7273
Practice Address - Fax:833-333-1484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty