Provider Demographics
NPI:1659867802
Name:MONARCH WELLNESS
Entity Type:Organization
Organization Name:MONARCH WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CE)
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-656-3681
Mailing Address - Street 1:1555 CONNECTICUT AVE NW STE 500
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-1123
Mailing Address - Country:US
Mailing Address - Phone:202-656-3681
Mailing Address - Fax:
Practice Address - Street 1:1555 CONNECTICUT AVE NW STE 500
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1123
Practice Address - Country:US
Practice Address - Phone:202-656-3681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-10
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty