MEDICARE: MONARCH BEHAVIORAL HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	1041C0700X	Clinical Social Worker
3	106H00000X	Marriage & Family Therapist
4	101YP2500X	Professional Counselor
5	104100000X	Social Worker
6	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1528492683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONARCH BEHAVIORAL HEALTH, LLC

Provider Business Mailing Address
First Line	:	2068 S EAGLE RD
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83642-6707
Country	:	US
Telephone Number	:	208-340-1688
Fax Number	:

Provider Business Practice Location Address
First Line	:	2068 S EAGLE RD
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83642-6707
Country	:	US
Telephone Number	:	208-965-9094
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JODI ANN ANDERST KEUHEY
Credential	:
Telephone Number	:	208-340-1688

Provider Enumeration Date	:	08/26/2013
Last Update Date	:	04/28/2026

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