Monarch Behavioral Health, Llc | |
2975 N Valley Green Way Meridian ID 83646-8833 | |
(208) 965-9094 | |
Not Available |
Full Name | Monarch Behavioral Health, Llc |
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Speciality | Social Worker |
Location | 2975 N Valley Green Way, Meridian, Idaho |
Authorized Official Name and Position | Jodi A Anderst (PROVIDER AND MEMEBER OF LLC) |
Authorized Official Contact | 2089659094 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Monarch Behavioral Health, Llc 2975 N Valley Green Way Meridian ID 83646-8833 Ph: (208) 965-9094 | Monarch Behavioral Health, Llc 2975 N Valley Green Way Meridian ID 83646-8833 Ph: (208) 965-9094 |
NPI Number | 1528492683 |
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Provider Enumeration Date | 08/26/2013 |
Last Update Date | 08/26/2013 |
Medicare PECOS PAC ID | 8426383274 |
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Medicare Enrollment ID | O20190716001819 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528492683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | LCSW32749 (Idaho) | Primary |
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