| 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 |
|---|---|
| Provider Enumeration Date | 03/02/2015 |
| Last Update Date | 02/15/2023 |
| Certification Date | 02/15/2023 |
| Medicare PECOS PAC ID | 8628396280 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821040445 PECOS PAC ID: 4688713811 Enrollment ID: I20091202000032 |
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