BEACON PSYCHIATRY AND MENTAL WELLNESS PLLC NPI 1568282812

NPI Information

  • NPI: 1568282812
  • Provider Name: BEACON PSYCHIATRY AND MENTAL WELLNESS, PLLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 1600 S FM 2381
    AMARILLO, TX
    ZIP 79124
  • Phone: (830) 264-8210

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NPI Details

BEACON PSYCHIATRY AND MENTAL WELLNESS, PLLC is a psychiatric/mental health nurse practitioner in Amarillo, TX. BEACON PSYCHIATRY AND MENTAL WELLNESS, PLLC NPI is 1568282812. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1600 S FM 2381
AMARILLO, TX
ZIP 79124-900
Phone: (830) 264-8210

The provider's authorized official is Jeanie Kay Heidelberg .
The authorized official title is Co-owner and has the following contact phone number (830) 264-8210.

The enumeration date for this NPI number is 10/11/2024 and was last updated on 1/13/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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

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