Active NPI
Monarch Educational Enterprises, LLC
- Community/Behavioral Health Agency
- Goose Creek, SC
National Provider Identifier
1235653395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MONARCH EDUCATIONAL ENTERPRISES, LLC
- Practice address
- 107 Persimmon Cir
Goose Creek, SC 29445-5738 - Phone
- (843) 633-3895
- NPI assigned
- Jul 31, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charissa M Owens, PH. D.
- Title
- Chief Executive Officer
- Phone
- (843) 633-3895
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6308 | SC | |
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
107 Persimmon Cir
Goose Creek, SC 29445-5738
Mailing address
307 N Goose Creek Blvd Unit 1641
Goose Creek, SC 29445-8365
Phone (843) 633-3895
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP7853 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
307 N Goose Creek Blvd
Unit 1641
Goose Creek, SC 29445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513036800000",
"number": "1235653395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 N GOOSE CREEK BLVD UNIT 1641",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294458365",
"telephone_number": "843-633-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 PERSIMMON CIR",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294455738",
"telephone_number": "843-633-3895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONARCH EDUCATIONAL ENTERPRISES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-31",
"last_updated": "2017-12-12",
"status": "A",
"authorized_official_last_name": "OWENS",
"authorized_official_first_name": "CHARISSA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "843-633-3895",
"authorized_official_credential": "PH. D."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6308",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP7853",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.