Healthcare Provider Details

I. General information

NPI: 1114682192
Provider Name (Legal Business Name): MONARCH MENTAL HEALTH COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2021
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1780 HERITAGE CENTER DR
WAKE FOREST NC
27587-3981
US

IV. Provider business mailing address

1780 HERITAGE CENTER DR STE 204
WAKE FOREST NC
27587-9234
US

V. Phone/Fax

Practice location:
  • Phone: 516-699-1804
  • Fax: 516-261-7146
Mailing address:
  • Phone: 516-699-1804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. ADRIANA SCOTT-WOLF
Title or Position: OWNER/THERAPIST
Credential: LMHC, LCMHC
Phone: 516-699-1804