Provider Demographics
NPI:1184241655
Name:LAURA MONCRIEF, PSY.D., LLC
Entity type:Organization
Organization Name:LAURA MONCRIEF, PSY.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MONCRIEF
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:330-391-9683
Mailing Address - Street 1:7155 PEARL RD STE 102
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-4945
Mailing Address - Country:US
Mailing Address - Phone:330-391-9683
Mailing Address - Fax:
Practice Address - Street 1:7155 PEARL RD STE 102
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-4945
Practice Address - Country:US
Practice Address - Phone:330-391-9683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHRYSALIS BEHAVIORAL HEALTH SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-01
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0196269Medicaid