Provider Demographics
NPI:1902209166
Name:MONARCH COUNSELING CENTER
Entity Type:Organization
Organization Name:MONARCH COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMSON CHRONISTER
Authorized Official - Suffix:
Authorized Official - Credentials:CMHC
Authorized Official - Phone:801-425-0227
Mailing Address - Street 1:1181 CHRISTMAS BOX LN
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84404-6401
Mailing Address - Country:US
Mailing Address - Phone:801-425-0227
Mailing Address - Fax:
Practice Address - Street 1:1181 CHRISTMAS BOX LN
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84404-6401
Practice Address - Country:US
Practice Address - Phone:801-425-0227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT82874683502251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health