BEACON BEHAVIORAL HEALTH SERVICES LLC NPI 1629122262

NPI Information

NPI: 1629122262
Provider Name: BEACON BEHAVIORAL HEALTH SERVICES LLC

Doing Business As: BEACON BEHAVIORAL HEALTH SERVICES

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
154 COOPER RD
SUITE 801
WEST BERLIN, NJ
ZIP 08091
Phone: (856) 767-4690
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BEACON BEHAVIORAL HEALTH SERVICES LLC is a mental health counselor in West Berlin, NJ. BEACON BEHAVIORAL HEALTH SERVICES LLC NPI is 1629122262. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Beacon Behavioral Health Services.

The provider's business location address is:

154 COOPER RD
SUITE 801
WEST BERLIN, NJ
ZIP 08091-128
Phone: (856) 767-4690
Fax: (856) 767-4695

The provider's authorized official is Nicholas Gregory Mcclary .
The authorized official title is Executive Director and has the following contact phone number (908) 391-9241.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health		NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0062294	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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