Provider Demographics
NPI:1639945348
Name:MONARCH THERAPY LLC
Entity Type:Organization
Organization Name:MONARCH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:NASR
Authorized Official - Last Name:CARLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:646-425-8890
Mailing Address - Street 1:2308 MOUNT VERNON AVE STE 437
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22301-1328
Mailing Address - Country:US
Mailing Address - Phone:571-388-6487
Mailing Address - Fax:
Practice Address - Street 1:14 LEADBEATER ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22305-2630
Practice Address - Country:US
Practice Address - Phone:571-388-6487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty