Provider Demographics
NPI:1851823140
Name:MONARCH CLINICAL & CONSULTING SERVICES
Entity type:Organization
Organization Name:MONARCH CLINICAL & CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:MASON
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD, LPC, CCMHC, NCC
Authorized Official - Phone:757-846-5205
Mailing Address - Street 1:10 W QUEENS WAY STE C
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-4085
Mailing Address - Country:US
Mailing Address - Phone:757-846-5205
Mailing Address - Fax:
Practice Address - Street 1:10 W QUEENS WAY STE C
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-4085
Practice Address - Country:US
Practice Address - Phone:757-846-5205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty