| Beacon Mental Health | |
|
3100 Ne 83rd St Suite 1001 Kansas City MO 64119-4400 | |
| (816) 468-0400 | |
| Not Available |
| Full Name | Beacon Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3100 Ne 83rd St, Kansas City, Missouri |
| Authorized Official Name and Position | Christina Marie Holm (CHIEF QUALITY & COMPLIANCE OFFICER) |
| Authorized Official Contact | 8164680400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Mental Health 3100 Ne 83rd St Suite 1001 Kansas City MO 64119-4400 Ph: (816) 468-0400 | Beacon Mental Health 3100 Ne 83rd St Suite 1001 Kansas City MO 64119-4400 Ph: (816) 468-0400 |
| NPI Number | 1982989133 |
|---|---|
| Provider Enumeration Date | 10/19/2011 |
| Last Update Date | 12/18/2023 |
| Certification Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982989133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2011029969 (Missouri) | Primary |
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