Provider Demographics
NPI:1295356111
Name:MEADE, MONICA E (LPC)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:E
Last Name:MEADE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:MONICA
Other - Middle Name:E
Other - Last Name:MEADE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MONICA MEADE, MA,LPC
Mailing Address - Street 1:19663 STILL RIVER CT
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-3489
Mailing Address - Country:US
Mailing Address - Phone:719-588-3024
Mailing Address - Fax:
Practice Address - Street 1:5390 N ACADEMY BLVD STE 330
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-4176
Practice Address - Country:US
Practice Address - Phone:719-588-3024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-01
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0016216101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health