Provider Demographics
NPI:1568049088
Name:MONUMENTAL THERAPY GROUP PLLC
Entity Type:Organization
Organization Name:MONUMENTAL THERAPY GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRENNAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA LMFT
Authorized Official - Phone:719-510-0624
Mailing Address - Street 1:1235 LAKE PLAZA DR STE 125
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-3581
Mailing Address - Country:US
Mailing Address - Phone:719-357-6175
Mailing Address - Fax:719-576-0298
Practice Address - Street 1:1235 LAKE PLAZA DR STE 125
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-3581
Practice Address - Country:US
Practice Address - Phone:719-510-0624
Practice Address - Fax:719-576-0298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty