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Organization
MONARCH ACADEMY FOR NEURODIVERGENT YOUTH AND YOUNG ADULTS L.L.C.
Active
Organization
MONARCH ACADEMY FOR NEURODIVERGENT YOUTH AND YOUNG ADULTS L.L.C.
Active
Other names
Dr. Amaris Avellan w/Monarch Academy for Neurodivergent Youth
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMARIS AVELLAN PH.D. (POSTDOCTORAL CLINICAL PSYCH FELLOW)
(949) 232-0513
Entity
Organization
Contact information
Practice address
5422 FIRST COAST HWY STE 102, AMELIA ISLAND, FL 32034-5403
(949) 232-0513
Mailing address
3948 3RD ST S # 121, JACKSONVILLE BEACH, FL 32250-5847
(949) 232-0513
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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