Provider Demographics
NPI:1811370539
Name:MONAHAN-CARLSON, EMILY PATRICIA (MA LMHC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:PATRICIA
Last Name:MONAHAN-CARLSON
Suffix:
Gender:F
Credentials:MA LMHC, NCC
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:PATRICIA
Other - Last Name:MONAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2435 KIMBERLY RD
Mailing Address - Street 2:SUITE 145
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722
Mailing Address - Country:US
Mailing Address - Phone:563-355-0780
Mailing Address - Fax:563-884-4638
Practice Address - Street 1:2435 KIMBERLY RD
Practice Address - Street 2:SUITE 145
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722
Practice Address - Country:US
Practice Address - Phone:563-355-0780
Practice Address - Fax:563-884-4638
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001666101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health