Provider Demographics
NPI:1992466072
Name:MONARCH MENTAL HEALTH LLC
Entity type:Organization
Organization Name:MONARCH MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLRED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-221-5727
Mailing Address - Street 1:4121 W 83RD ST STE 254
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-5303
Mailing Address - Country:US
Mailing Address - Phone:913-291-0076
Mailing Address - Fax:913-951-0656
Practice Address - Street 1:4121 W 83RD ST STE 254
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-5303
Practice Address - Country:US
Practice Address - Phone:913-291-0076
Practice Address - Fax:913-951-0656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-01
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1558624890Medicaid