Healthcare Provider Details

I. General information

NPI: 1255251666
Provider Name (Legal Business Name): MONARCH BEHAVIORAL THERAPY BII, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5340 SPECTRUM DR STE A
FREDERICK MD
21703-7357
US

IV. Provider business mailing address

2400 DALLAS PKWY STE 400
PLANO TX
75093-4381
US

V. Phone/Fax

Practice location:
  • Phone: 855-782-7822
  • Fax:
Mailing address:
  • Phone: 855-782-7822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: CARLA EDWARDS
Title or Position: CHIEF CLINICAL OFFICER
Credential:
Phone: 855-782-7822