| Beacon Counseling Services | |
|
140 Elliott St Ste 5 Beverly MA 01915-3220 | |
| (978) 473-1346 | |
| Not Available |
| Full Name | Beacon Counseling Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 140 Elliott St Ste 5, Beverly, Massachusetts |
| Authorized Official Name and Position | Marian B Vance (MARRIAGE FAMILY THERAPIST) |
| Authorized Official Contact | 9784731346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Counseling Services 11 Bruce Ln Wenham MA 01984-1403 Ph: (978) 473-1346 | Beacon Counseling Services 140 Elliott St Ste 5 Beverly MA 01915-3220 Ph: (978) 473-1346 |
| NPI Number | 1023529203 |
|---|---|
| Provider Enumeration Date | 10/16/2017 |
| Last Update Date | 10/16/2017 |
| Medicare PECOS PAC ID | 9830534445 |
|---|---|
| Medicare Enrollment ID | O20240305001098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023529203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1684 (Massachusetts) | Primary |
| Provider Name | Stephan J Pavlas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124458724 PECOS PAC ID: 0446684278 Enrollment ID: I20200102001020 |
| Provider Name | Marian Vance |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275910416 PECOS PAC ID: 0749625358 Enrollment ID: I20240305001262 |
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