Monade Counseling, Llc | |
134 W Main St Ste 12 Trinidad CO 81082-2600 | |
(719) 846-2691 | |
(719) 846-8772 |
Full Name | Monade Counseling, Llc |
---|---|
Speciality | Clinic/Center |
Location | 134 W Main St Ste 12, Trinidad, Colorado |
Authorized Official Name and Position | David Orvill Wade-monarco (OWNER/THERAPIST) |
Authorized Official Contact | 3166800520 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Monade Counseling, Llc 134 W Main St Ste 12 Trinidad CO 81082-2600 Ph: (198) 462-6917 | Monade Counseling, Llc 134 W Main St Ste 12 Trinidad CO 81082-2600 Ph: (719) 846-2691 |
NPI Number | 1982096731 |
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Provider Enumeration Date | 03/02/2015 |
Last Update Date | 02/15/2023 |
Certification Date | 02/15/2023 |
Medicare PECOS PAC ID | 8628396280 |
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Medicare Enrollment ID | O20150409002517 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982096731 | NPI | - | NPPES |
200460320A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LSCSW 3915 (Kansas) | Primary |
Provider Name | David O Wade Monarco |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821040445 PECOS PAC ID: 4688713811 Enrollment ID: I20091202000032 |
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