Provider Demographics
NPI:1154827244
Name:MONARCH COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:MONARCH COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:N
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:DLLP, LLMSW
Authorized Official - Phone:734-368-5631
Mailing Address - Street 1:5992 WILLOWBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-7133
Mailing Address - Country:US
Mailing Address - Phone:734-368-5631
Mailing Address - Fax:
Practice Address - Street 1:120 N HURON ST
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-2610
Practice Address - Country:US
Practice Address - Phone:734-368-5631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301017344261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)