Provider Demographics
NPI:1770930976
Name:MONARCH BEHAVIORAL HEALTH INC
Entity type:Organization
Organization Name:MONARCH BEHAVIORAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARVIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:SPELLS
Authorized Official - Suffix:
Authorized Official - Credentials:MDIV
Authorized Official - Phone:770-577-1200
Mailing Address - Street 1:5682 PALAZZO WAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-2500
Mailing Address - Country:US
Mailing Address - Phone:770-577-1200
Mailing Address - Fax:470-282-0023
Practice Address - Street 1:5682 PALAZZO WAY
Practice Address - Street 2:SUITE 103
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-2500
Practice Address - Country:US
Practice Address - Phone:770-577-1200
Practice Address - Fax:470-282-0023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-17
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty