Provider Demographics
NPI:1619353372
Name:MONARCH BEHAVIORAL HEALTH ASSSOCIATES
Entity Type:Organization
Organization Name:MONARCH BEHAVIORAL HEALTH ASSSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:KEIL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:412-417-8160
Mailing Address - Street 1:2644 LEECHBURG ROAD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:LOWER BURRELL
Mailing Address - State:PA
Mailing Address - Zip Code:15068
Mailing Address - Country:US
Mailing Address - Phone:412-417-8160
Mailing Address - Fax:412-795-7488
Practice Address - Street 1:2644 LEECHBURG ROAD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:LOWER BURRELL
Practice Address - State:PA
Practice Address - Zip Code:15068
Practice Address - Country:US
Practice Address - Phone:412-417-8160
Practice Address - Fax:412-795-7488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0140781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty