MEDICARE: MONARCH COUNSELING

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	103TC1900X	Counseling Psychologist

General Provider Information

NPI Number	:	1679191316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONARCH COUNSELING

Provider Business Mailing Address
First Line	:	670 MERIDIAN WAY STE 163
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43082-2302
Country	:	US
Telephone Number	:	614-653-5281
Fax Number	:	614-675-4449

Provider Business Practice Location Address
First Line	:	670 MERIDIAN WAY STE 163
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43082-2302
Country	:	US
Telephone Number	:	614-653-5281
Fax Number	:	614-675-4449

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	DR. TINA SCHNEIDER
Credential	:	PHD
Telephone Number	:	614-653-5281

Provider Enumeration Date	:	07/09/2020
Last Update Date	:	02/12/2021

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