| Beacon Of Light Behavioral Health, Llc. | |
|
300 W Dixie Ave Ste 11 Elizabethtown KY 42701-1764 | |
| (270) 900-1358 | |
| (844) 444-1150 |
| Full Name | Beacon Of Light Behavioral Health, Llc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 300 W Dixie Ave Ste 11, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Natasha Regina Porter (CEO/CLINICAL DIRECTOR) |
| Authorized Official Contact | 2709001358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Of Light Behavioral Health, Llc. 300 W Dixie Ave Ste 11 Elizabethtown KY 42701-1764 Ph: (270) 900-1358 | Beacon Of Light Behavioral Health, Llc. 300 W Dixie Ave Ste 11 Elizabethtown KY 42701-1764 Ph: (270) 900-1358 |
| NPI Number | 1245983824 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 09/17/2022 |
| Certification Date | 09/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245983824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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