Healthcare Provider Details

I. General information

NPI: 1114430469
Provider Name (Legal Business Name): MONROE CAPITAL HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2017
Last Update Date: 09/13/2025
Certification Date: 09/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 SIGNAL RD
STAMFORD CT
06902-7909
US

IV. Provider business mailing address

L-3969
COLUMBUS OH
43260-3969
US

V. Phone/Fax

Practice location:
  • Phone: 833-531-3496
  • Fax: 866-273-8095
Mailing address:
  • Phone: 714-202-5166
  • Fax: 866-273-8095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number0062
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number0607
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number0503
License Number StateCT

VIII. Authorized Official

Name: KEITH THOMPSON
Title or Position: CHIEF LEGAL AND DEVELOPMENT OFFICER
Credential:
Phone: 949-432-4622