MEDICARE: MS. THERESA ANN MONROE LMFT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1548441710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. THERESA ANN MONROE LMFT

Provider Business Mailing Address
First Line	:	237 CHESTERFIELD ROAD
Second Line	:
City	:	OAKDALE
State	:	CT
Zip	:	06370
Country	:	US
Telephone Number	:	860-892-8085
Fax Number	:

Provider Business Practice Location Address
First Line	:	1925 BRENDA AVENUE
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32506
Country	:	US
Telephone Number	:	860-892-8085
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2007
Last Update Date	:	05/27/2026

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