Provider Demographics
NPI:1972188969
Name:MONARCH MENTAL HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:MONARCH MENTAL HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:GATELEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:479-287-8814
Mailing Address - Street 1:614 E EMMA AVE STE 213
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-4459
Mailing Address - Country:US
Mailing Address - Phone:479-380-4788
Mailing Address - Fax:
Practice Address - Street 1:614 E EMMA AVE STE 213
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-4459
Practice Address - Country:US
Practice Address - Phone:479-380-4788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1720410780OtherNPI