| Monroe Mental Health, Llc | |
|
1820 W Colorado Ave Colorado Springs CO 80904-3837 | |
| (303) 548-4236 | |
| (888) 505-5816 |
| Full Name | Monroe Mental Health, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1820 W Colorado Ave, Colorado Springs, Colorado |
| Authorized Official Name and Position | Dana Lynn Monroe (SOLE PROVIDER AND CEO) |
| Authorized Official Contact | 3035484236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monroe Mental Health, Llc 2750 Elk Park Rd Larkspur CO 80118-6613 Ph: (303) 548-4236 | Monroe Mental Health, Llc 1820 W Colorado Ave Colorado Springs CO 80904-3837 Ph: (303) 548-4236 |
| NPI Number | 1740687516 |
|---|---|
| Provider Enumeration Date | 11/22/2014 |
| Last Update Date | 03/01/2022 |
| Certification Date | 03/01/2022 |
| Medicare PECOS PAC ID | 8123341575 |
|---|---|
| Medicare Enrollment ID | O20141216001756 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740687516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0003556 (Colorado) | Primary |
| Provider Name | Dana L Monroe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285936633 PECOS PAC ID: 0244452878 Enrollment ID: I20141113002089 |
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