Healthcare Provider Details

I. General information

NPI: 1770412173
Provider Name (Legal Business Name): THE MONUMENTAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207A NORTH ST
ELKTON MD
21921-5512
US

IV. Provider business mailing address

600 REISTERSTOWN RD
PIKESVILLE MD
21208-5104
US

V. Phone/Fax

Practice location:
  • Phone: 443-800-6213
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DEAIRA RAY
Title or Position: CEO
Credential:
Phone: 443-800-6213