Beacon Healing & Wellness LLC
Counselor, Mental Health in Covington, LA. Organization (NPI-2).
NPI number1457934903
StatusActive
Last updated in NPPESNov 13, 2023
Details
- NPI
- 1457934903
- Entity type
- Organization (NPI-2)
- Legal business name
- Beacon Healing & Wellness LLC
- Organization subpart
- No
- Enumeration date
- May 3, 2021
- Certification date
- Nov 13, 2023
- Last updated
- Nov 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – |
Practice location
671 River Highlands Blvd Ste 8Covington, LA 70433-8987
Phone 985-624-2942 · Fax 985-231-1373
Mailing address
14707 Perkins RdBaton Rouge, LA 70810-2216
Phone 225-810-4040 · Fax 225-810-4050
Authorized official
Phillip Sean Wendell
Ceo
2258104040
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