| Beacon Mental And Wellness Center Limited Liability Company | |
|
1534 N Hampton Rd Bldg C Desoto TX 75115-2302 | |
| (817) 366-0950 | |
| Not Available |
| Full Name | Beacon Mental And Wellness Center Limited Liability Company |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1534 N Hampton Rd Bldg C, Desoto, Texas |
| Authorized Official Name and Position | Patrick Moneke (CEO) |
| Authorized Official Contact | 8173660950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Mental And Wellness Center Limited Liability Company 1534 N Hampton Rd Bldg C Desoto TX 75115-2302 Ph: (817) 366-0950 | Beacon Mental And Wellness Center Limited Liability Company 1534 N Hampton Rd Bldg C Desoto TX 75115-2302 Ph: (817) 366-0950 |
| NPI Number | 1336983709 |
|---|---|
| Provider Enumeration Date | 06/20/2024 |
| Last Update Date | 06/20/2024 |
| Certification Date | 06/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336983709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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