Provider Demographics
NPI:1710730593
Name:MONARCH COUNSELING LLC
Entity Type:Organization
Organization Name:MONARCH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHIRAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHALKER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:334-714-3509
Mailing Address - Street 1:208 LIGHTHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36305-7302
Mailing Address - Country:US
Mailing Address - Phone:334-714-3509
Mailing Address - Fax:
Practice Address - Street 1:208 LIGHTHOUSE DR
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36305-7302
Practice Address - Country:US
Practice Address - Phone:334-714-3509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty