Provider Demographics
NPI:1821729054
Name:MONARCA BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:MONARCA BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JESICA
Authorized Official - Middle Name:
Authorized Official - Last Name:AZNAR
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:407-494-1342
Mailing Address - Street 1:165 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-2954
Mailing Address - Country:US
Mailing Address - Phone:407-494-1342
Mailing Address - Fax:
Practice Address - Street 1:165 N 4TH ST
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2954
Practice Address - Country:US
Practice Address - Phone:407-494-1342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty