Organization Active NPI

Monarch Behavioral Health Inc

  • Mental Health Counselor
  • Douglasville, GA
National Provider Identifier
1770930976
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Dec 28, 2016

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.