# MONUMENTAL THERAPY GROUP PLLC

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

## Provider details

- **NPI number:** 1548989924
- **Authorized official:** DANI CRAWFORD (BILLING DIRECTOR)
- **Authorized official phone:** (970) 573-7780

## Contact information

- **Practice address:** 755 HIGHWAY 105 UNIT 2C, PALMER LAKE, CO 80133-9040
- **Practice address phone:** (719) 357-6175
- **Mailing address:** 1235 LAKE PLAZA DR STE 125, COLORADO SPRINGS, CO 80906-3581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2022
- **Last updated:** 08/26/2022