Healthcare Provider Details
I. General information
NPI: 1366371460
Provider Name (Legal Business Name): MONROE BEHAVIORAL INSIGHT CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8401 MAYLAND DR # 4250
RICHMOND VA
23294-4648
US
IV. Provider business mailing address
8401 MAYLAND DR # 4250
RICHMOND VA
23294-4648
US
V. Phone/Fax
- Phone: 804-223-0050
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
DAIJA
MONROE
Title or Position: MANAGING MEMBER
Credential: LPC
Phone: 804-223-0050