Healthcare Provider Details
I. General information
NPI: 1962228064
Provider Name (Legal Business Name): MONARCH PSYCHOTHERAPY LLC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/23/2024
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3106 MAIN ST
PARSONS KS
67357-2650
US
IV. Provider business mailing address
3106 MAIN ST
PARSONS KS
67357-2650
US
V. Phone/Fax
- Phone: 620-432-4044
- Fax:
- Phone: 620-432-4044
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ERIC
SCHOENECKER
Title or Position: CEO/PRESIDENT
Credential: LSCSW
Phone: 620-432-4044