MEDICARE: MONARCH PROFESSIONAL COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	11506	TX
2	101YP2500X	Professional Counselor	69352	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184123754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONARCH PROFESSIONAL COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	2115 STEPHENS PL STE 400K
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-2167
Country	:	US
Telephone Number	:	361-886-0808
Fax Number	:	361-886-0603

Provider Business Practice Location Address
First Line	:	2115 STEPHENS PL STE 400K
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-2167
Country	:	US
Telephone Number	:	361-886-0808
Fax Number	:	361-886-0603

Authorized Official
Title or Position	:	OWNER
Name	:	MS. HOLLIS MARION HINTZ
Credential	:	LPC
Telephone Number	:	361-886-0808

Provider Enumeration Date	:	02/08/2018
Last Update Date	:	06/27/2023

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