Provider Demographics
NPI:1750013561
Name:MONESELF CORP
Entity Type:Organization
Organization Name:MONESELF CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLING
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, MCAP, ICADC
Authorized Official - Phone:561-685-6934
Mailing Address - Street 1:734 NEW YORK ST
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-6602
Mailing Address - Country:US
Mailing Address - Phone:561-685-6934
Mailing Address - Fax:
Practice Address - Street 1:734 NEW YORK ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-6602
Practice Address - Country:US
Practice Address - Phone:561-685-6934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health