Provider Demographics
NPI:1982096731
Name:MONADE COUNSELING, LLC
Entity Type:Organization
Organization Name:MONADE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ORVILL
Authorized Official - Last Name:WADE-MONARCO
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:316-680-0520
Mailing Address - Street 1:134 W MAIN ST STE 12
Mailing Address - Street 2:
Mailing Address - City:TRINIDAD
Mailing Address - State:CO
Mailing Address - Zip Code:81082-2600
Mailing Address - Country:US
Mailing Address - Phone:198-462-6917
Mailing Address - Fax:719-846-8772
Practice Address - Street 1:134 W MAIN ST STE 12
Practice Address - Street 2:
Practice Address - City:TRINIDAD
Practice Address - State:CO
Practice Address - Zip Code:81082-2600
Practice Address - Country:US
Practice Address - Phone:719-846-2691
Practice Address - Fax:719-846-8772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLSCSW 3915261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200460320AMedicaid
KS200460320AMedicaid