# MONARCH ROOM MENTAL HEALTH LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538002175
- **Authorized official:** AL BERRY (MANAGER)
- **Authorized official phone:** (469) 915-4211

## Contact information

- **Practice address:** 269 OLD TY TY RD, TIFTON, GA 31793-6608
- **Practice address phone:** (469) 915-4211
- **Mailing address:** 505 S CHURCH ST \# 4C, HAHIRA, GA 31632-1413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2026
- **Last updated:** 04/09/2026