Healthcare Provider Details

I. General information

NPI: 1992441364
Provider Name (Legal Business Name): MONARCH RECOVERY STC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2022
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2660 E MAIN ST STE 203&204
VENTURA CA
93003-2893
US

IV. Provider business mailing address

2759 SAILOR AVE
VENTURA CA
93001-4159
US

V. Phone/Fax

Practice location:
  • Phone: 805-850-2686
  • Fax:
Mailing address:
  • Phone: 805-850-2686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. SHAUN BELANGER
Title or Position: CEO
Credential:
Phone: 805-850-2686