Organization
MONARCH MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY V TAUSCH PMHNP-BC (OWNER)
(401) 217-9333
Entity
Organization
Contact information
Practice address
320 CENTRAL AVE STE 212, COOS BAY, OR 97420-2241
(401) 217-9333
(541) 543-2470
Mailing address
320 CENTRAL AVE STE 212, COOS BAY, OR 97420-2241
(401) 217-9333
(541) 543-2470
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023649605
NPI 1
OR
05
—
500777651
—
OR
Enumeration date
04/28/2020
Last updated
10/24/2023
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