Healthcare Provider Details

I. General information

NPI: 1942270863
Provider Name (Legal Business Name): MONARCH IMMIGRANT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4030 CHOUTEAU AVE STE 700
SAINT LOUIS MO
63110-1754
US

IV. Provider business mailing address

4030 CHOUTEAU AVE STE 700
SAINT LOUIS MO
63110-1754
US

V. Phone/Fax

Practice location:
  • Phone: 314-645-7800
  • Fax: 314-645-7802
Mailing address:
  • Phone: 314-645-7800
  • Fax: 314-645-7800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JASON BAKER
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 314-645-7800