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General NPI Number Information
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NPI Number | 1972188969
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Entity Type | Organization
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Legal Business Name | MONARCH MENTAL HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 03/11/2021
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 614 E EMMA AVE STE 213
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City | SPRINGDALE
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State | AR
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Zip | 72764-4459
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Country | US
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Telephone | 479-380-4788
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Fax |
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Provider Business Mailing Address
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Address Line | 614 E EMMA AVE STE 213
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City | SPRINGDALE
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State | AR
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Zip | 72764-4459
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Country | US
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Telephone | 479-380-4788
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. KARLA RAE GATELEY
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Credential | LCSW
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Telephone | 479-287-8814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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