| Monarch Educational Enterprises, Llc | |
|
107 Persimmon Cir Goose Creek SC 29445-5738 | |
| (843) 633-3895 | |
| Not Available |
| Full Name | Monarch Educational Enterprises, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 107 Persimmon Cir, Goose Creek, South Carolina |
| Authorized Official Name and Position | Charissa M Owens (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8436333895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monarch Educational Enterprises, Llc 307 N Goose Creek Blvd Unit 1641 Goose Creek SC 29445-8365 Ph: (843) 633-3895 | Monarch Educational Enterprises, Llc 107 Persimmon Cir Goose Creek SC 29445-5738 Ph: (843) 633-3895 |
| NPI Number | 1235653395 |
|---|---|
| Provider Enumeration Date | 07/31/2017 |
| Last Update Date | 12/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235653395 | NPI | - | NPPES |
| GP7853 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6308 (South Carolina) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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