Active NPI
Monarch Behavioral Health Inc
- Mental Health Counselor
- Douglasville, GA
National Provider Identifier
1770930976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MONARCH BEHAVIORAL HEALTH INC
- Practice address
- 5682 Palazzo Way
Suite 103
Douglasville, GA 30134-2500 - Phone
- (770) 577-1200
- Fax
- (470) 282-0023
- NPI assigned
- May 17, 2016
- 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
- Mrs. Darvin R Spells, M.DIV.
- Title
- Ceo
- Phone
- (770) 577-1200
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Pastoral Counselor | 101YP1600X | |||
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
5682 Palazzo Way
Suite 103
Douglasville, GA 30134-2500
Mailing address
5682 Palazzo Way
Suite 103
Douglasville, GA 30134-2500
Phone (770) 577-1200
National Provider Directory
National Provider DirectoryLocations
5682 Palazzo Way
Ste 103
Douglasville, GA 30134
Phone (770) 577-1200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Douglasville, GA
- NPI 1356821169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482883200000",
"number": "1770930976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5682 PALAZZO WAY",
"address_2": "SUITE 103",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301342500",
"telephone_number": "770-577-1200",
"fax_number": "470-282-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5682 PALAZZO WAY",
"address_2": "SUITE 103",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301342500",
"telephone_number": "770-577-1200",
"fax_number": "470-282-0023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONARCH BEHAVIORAL HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-17",
"last_updated": "2016-12-28",
"status": "A",
"authorized_official_last_name": "SPELLS",
"authorized_official_first_name": "DARVIN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-577-1200",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.DIV."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.