| Beacon Behavioral Gtx Llc | |
|
712 S Austin Ave Ste 201 Georgetown TX 78626-5709 | |
| (737) 242-0034 | |
| (512) 686-2200 |
| Full Name | Beacon Behavioral Gtx Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 712 S Austin Ave Ste 201, Georgetown, Texas |
| Authorized Official Name and Position | Emily Kipp-wright (OWNER) |
| Authorized Official Contact | 7372420034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Behavioral Gtx Llc 4810 Spicewood Springs Rd Bldg B Austin TX 78759-7845 Ph: (512) 593-7066 | Beacon Behavioral Gtx Llc 712 S Austin Ave Ste 201 Georgetown TX 78626-5709 Ph: (737) 242-0034 |
| NPI Number | 1467237842 |
|---|---|
| Provider Enumeration Date | 08/25/2023 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467237842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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