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NPI Code Detail

MEDICARE: MONARCA COUNSELING LLC

MEDICARE: MONARCA COUNSELING LLC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1235073958
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONARCA COUNSELING LLC
Provider Business Mailing Address
First Line : 3514 STELLHORN RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-4631
Country : US
Telephone Number : 260-255-6836
Fax Number :
Provider Business Practice Location Address
First Line : 3514 STELLHORN RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-4631
Country : US
Telephone Number : 260-255-6836
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CRISTINA JIMENEZ
Credential : LMHC
Telephone Number : 260-255-6836
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “MONARCA COUNSELING LLC ” Practice Location

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