Provider Demographics
NPI:1932690336
Name:MONREAL, TONI L (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TONI
Middle Name:L
Last Name:MONREAL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25757
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86312-5757
Mailing Address - Country:US
Mailing Address - Phone:928-713-1879
Mailing Address - Fax:
Practice Address - Street 1:1101 N OLD CHISHOLM TRL STE H
Practice Address - Street 2:
Practice Address - City:DEWEY
Practice Address - State:AZ
Practice Address - Zip Code:86327-5833
Practice Address - Country:US
Practice Address - Phone:928-713-1879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-22
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty