Healthcare Provider Details

I. General information

NPI: 1508688417
Provider Name (Legal Business Name): MONARCH COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2024
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 MAPLE DR STE A
WEXFORD PA
15090-8327
US

IV. Provider business mailing address

116 BROOKSTON DR
CRANBERRY TWP PA
16066-7004
US

V. Phone/Fax

Practice location:
  • Phone: 412-629-7090
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JENNIE RINGEISEN
Title or Position: OWNER
Credential:
Phone: 412-629-7090