Provider Demographics
NPI:1629343413
Name:MONAGHAN PSYCHOTHERAPY SERVICES INC
Entity Type:Organization
Organization Name:MONAGHAN PSYCHOTHERAPY SERVICES INC
Other - Org Name:LIFE RECOVERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/LEAD CLINICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MONAGHAN
Authorized Official - Suffix:III
Authorized Official - Credentials:MA, NCC, LPC, LAC
Authorized Official - Phone:303-252-4179
Mailing Address - Street 1:11658 HURON ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2919
Mailing Address - Country:US
Mailing Address - Phone:303-252-4179
Mailing Address - Fax:303-252-4186
Practice Address - Street 1:11658 HURON ST
Practice Address - Street 2:SUITE 400
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-2919
Practice Address - Country:US
Practice Address - Phone:303-252-4179
Practice Address - Fax:303-252-4186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO#ACD-226101YA0400X
CO#LPC-6108101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty