Organization
MONARCH MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA MADREE LEONARD LCSW (CEO)
(208) 676-1075
Entity
Organization
Contact information
Practice address
2115 E. SHERMAN AVE #104, COEUR D 'ALENE, ID 83814
(208) 676-1075
(208) 676-1245
Mailing address
2115 E. SHERMAN AVE #104, COEUR D 'ALENE, ID 83814
(208) 676-1075
(208) 676-1245
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
LCSW-29101
ID
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-29101
ID
261QM0850X
Adult Mental Health Clinic/Center
LCSW-29101
ID
261QM0855X
Adolescent and Children Mental Health Clinic/Center
LCSW-29101
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807335700
—
ID
05
—
807342300
—
ID
05
—
807652000
—
ID
Enumeration date
02/12/2010
Last updated
05/17/2016
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