Provider Demographics
NPI:1629880117
Name:MONARCH THERAPY AND MEDICATION MANAGEMENT
Entity type:Organization
Organization Name:MONARCH THERAPY AND MEDICATION MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:LOVE
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:774-473-2272
Mailing Address - Street 1:955 MASSACHUSETTS AVE STE 272
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-3180
Mailing Address - Country:US
Mailing Address - Phone:774-473-2272
Mailing Address - Fax:620-202-7555
Practice Address - Street 1:137 UNION ST APT 1
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6363
Practice Address - Country:US
Practice Address - Phone:774-473-2272
Practice Address - Fax:620-202-7555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty