Healthcare Provider Details

I. General information

NPI: 1114687902
Provider Name (Legal Business Name): MONARCH MENTAL HEALTH AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2021
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5609 PATTERSON AVE STE C
RICHMOND VA
23226-2047
US

IV. Provider business mailing address

75 BELLONA ARSENAL RD
MIDLOTHIAN VA
23113-2038
US

V. Phone/Fax

Practice location:
  • Phone: 804-658-8026
  • Fax: 804-223-3165
Mailing address:
  • Phone: 804-370-0111
  • Fax: 804-223-3165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY CARISA HOOVER
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 804-658-8026