Organization
MONARCH BEHAVIORAL HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORA I HUDSON LICENSED CLINICAL S (OWNER/THERAPIST)
(608) 381-3687
Entity
Organization
Contact information
Practice address
4706 COTTAGE GROVE RD STE 300, MADISON, WI 53716-1354
(608) 381-3687
(608) 501-1211
Mailing address
2942 N 24TH ST STE 109, PHOENIX, AZ 85016-7849
(608) 381-3687
(608) 501-1211
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942602040
—
WI
Enumeration date
03/09/2020
Last updated
10/22/2024
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