Healthcare Provider Details

I. General information

NPI: 1225820681
Provider Name (Legal Business Name): MONARCH BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/21/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 TYRONE PIKE
VERSAILLES KY
40383-1323
US

IV. Provider business mailing address

850 TYRONE PIKE
VERSAILLES KY
40383-1323
US

V. Phone/Fax

Practice location:
  • Phone: 502-352-1844
  • Fax:
Mailing address:
  • Phone: 502-352-1844
  • 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 Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL CROMWELL
Title or Position: OPERATIONAL DIRECTOR
Credential:
Phone: 925-595-7744