Beacon Behavioral Hospital LLC

NPI #1386277283 in Lutcher, Louisiana

Provider Information

NPI Number: 1386277283
Entity Type: Organization
Organization Name: Beacon Behavioral Hospital LLC
Subpart: Yes (part of a larger organization)
Parent Organization: BEACON BEHAVIORAL HOSPITAL LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 19, 2020
Last Updated: Jan 21, 2021

Practice Location

Address: 2471 LOUISIANA AVE
City: Lutcher
State: Louisiana
ZIP Code: 70071-5413
Phone: (225) 258-6112

Authorized Official

Name: MR. PHILLIP SEAN WENDELL
Title: CEO
Phone: (225) 810-4040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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