| Beacon Insight Counseling | |
|
104 Whiting Way Ste 200 Warner Robins GA 31088-8055 | |
| (478) 662-2710 | |
| (478) 333-2985 |
| Full Name | Beacon Insight Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 104 Whiting Way Ste 200, Warner Robins, Georgia |
| Authorized Official Name and Position | Diana Marie Davis (PYCHOTHERAPIST) |
| Authorized Official Contact | 4786622710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Insight Counseling 104 Whiting Way Ste 200 Warner Robins GA 31088-8055 Ph: (478) 662-2710 | Beacon Insight Counseling 104 Whiting Way Ste 200 Warner Robins GA 31088-8055 Ph: (478) 662-2710 |
| NPI Number | 1104188341 |
|---|---|
| Provider Enumeration Date | 06/13/2012 |
| Last Update Date | 01/22/2019 |
| Medicare PECOS PAC ID | 9931355351 |
|---|---|
| Medicare Enrollment ID | O20120817000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104188341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW003584 (Georgia) | Primary |
| 251S00000X | Community/behavioral Health | SW7900 (Florida) | Secondary |
| Provider Name | Diana M Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427320233 PECOS PAC ID: 5294981619 Enrollment ID: I20120817000061 |
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