| Monarch Behavioral Health Center Llc | |
|
1310 Mendota St Ste 115 Madison WI 53714-1060 | |
| (608) 290-2943 | |
| Not Available |
| Full Name | Monarch Behavioral Health Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1310 Mendota St Ste 115, Madison, Wisconsin |
| Authorized Official Name and Position | Lora I Hudson (OWNER/THERAPIST) |
| Authorized Official Contact | 6086404007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monarch Behavioral Health Center Llc 1310 Mendota St Ste 115 Madison WI 53714-1060 Ph: (608) 290-2943 | Monarch Behavioral Health Center Llc 1310 Mendota St Ste 115 Madison WI 53714-1060 Ph: (608) 290-2943 |
| NPI Number | 1497380505 |
|---|---|
| Provider Enumeration Date | 03/09/2020 |
| Last Update Date | 03/27/2020 |
| Certification Date | 03/27/2020 |
| Medicare PECOS PAC ID | 7315362548 |
|---|---|
| Medicare Enrollment ID | O20200805002717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497380505 | NPI | - | NPPES |
| 1942602040 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lora Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942602040 PECOS PAC ID: 0941511901 Enrollment ID: I20150617000553 |
Nrrc, Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 N Blackhawk Ave, Suite 100, Madison, WI 53705 Phone: 608-441-6159 Fax: 608-663-5928 | |
Creating Space, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1915 Winnebago St Ste 101, Madison, WI 53704 Phone: 608-205-8205 Fax: 608-999-7313 | |
Think & Grow Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2921 Landmark Pl Ste 215, Madison, WI 53713 Phone: 608-957-7277 Fax: 608-252-1333 | |
Adhd Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 437 S Yellowstone Dr Ste 217b, Madison, WI 53719 Phone: 608-467-2332 | |
Golden Mend Wellness And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 E Olin Ave Ste 220, Madison, WI 53713 Phone: 608-729-8696 | |
The Family Resource Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Price Pl Ste 11, Madison, WI 53705 Phone: 608-575-7518 | |
Wisconsin Young Autism Project Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6402 Odana Rd, Madison, WI 53719 Phone: 608-288-9040 Fax: 608-288-9042 |