| Beacon Behavioral Health, Pllc | |
|
3207 Rogers Rd Suite 204 Wake Forest NC 27587-3834 | |
| (919) 880-7613 | |
| (919) 366-9705 |
| Full Name | Beacon Behavioral Health, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3207 Rogers Rd, Wake Forest, North Carolina |
| Authorized Official Name and Position | Ronda O Falk (MEMBER MANAGER) |
| Authorized Official Contact | 9198807613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Behavioral Health, Pllc Po Box 370 Rolesville NC 27571-0370 Ph: (919) 880-7613 | Beacon Behavioral Health, Pllc 3207 Rogers Rd Suite 204 Wake Forest NC 27587-3834 Ph: (919) 880-7613 |
| NPI Number | 1750309662 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750309662 | NPI | - | NPPES |
| 136FC | Other | NC | BCBSNC |
| 6002797 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C004632 (North Carolina) | Primary |
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