BEACON BEHAVIORAL HEALTH LLC NPI 1205627387

NPI Information

  • NPI: 1205627387
  • Provider Name: BEACON BEHAVIORAL HEALTH LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 7516 E MAIN ST STE 5
    MESA, AZ
    ZIP 85207
  • Phone: (602) 456-1414

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NPI Details

BEACON BEHAVIORAL HEALTH LLC is a multi-specialty clinic center in Mesa, AZ. BEACON BEHAVIORAL HEALTH LLC NPI is 1205627387. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7516 E MAIN ST STE 5
MESA, AZ
ZIP 85207-332
Phone: (602) 456-1414

The provider's authorized official is Jarrell Woods .
The authorized official title is Director and has the following contact phone number (602) 456-1414.

The enumeration date for this NPI number is 5/16/2025 and was last updated on 9/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistNo
2251S00000XCommunity/Behavioral HealthNo
31041C0700XSocial WorkerClinicalNo
4261QC1500XClinic/CenterCommunity HealthNo
5261QM0850XClinic/CenterAdult Mental HealthNo
6101YA0400XCounselorAddiction (Substance Use Disorder)No
7261Q00000XClinic/CenterNo
8261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
9251B00000XCase ManagementNo
10261QH0100XClinic/CenterHealth ServiceNo
11261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)No
12101YM0800XCounselorMental HealthNo
13261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
14261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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