Organization · NPI-2
Beacon Behavioral Outpatient - Opelousas LLC
Community/Behavioral Health · Opelousas, LA
NPI number1295522043
StatusActive
Last updated in NPPESApr 24, 2025
Details
- NPI
- 1295522043
- Entity type
- Organization (NPI-2)
- Legal business name
- Beacon Behavioral Outpatient - Opelousas LLC
- Organization subpart
- No
- Enumeration date
- Apr 24, 2025
- Certification date
- Apr 24, 2025
- Last updated
- Apr 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – |
Practice location
816 Creswell Ln Ste 2&3Opelousas, LA 70570-5805
Phone 337-678-3611
Mailing address
14707 Perkins RdBaton Rouge, LA 70810-2216
Phone 504-910-6056
Authorized official
Phillip Sean Wendell
Ceo
2252524758
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