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BEACON COMMUNITY SERVICES NPI 1710759303


NPI Information

NPI: 1710759303
Provider Name: BEACON COMMUNITY SERVICES
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
1560 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 745-4526
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BEACON COMMUNITY SERVICES is a clinical neuropsychologist in Southlake, TX. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. BEACON COMMUNITY SERVICES NPI is 1710759303. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1560 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX
ZIP 76092-462
Phone: (817) 745-4526

The provider's authorized official is Andrea Lynn Rice .
The authorized official title is Clinical Director and has the following contact phone number (817) 739-8013.

The enumeration date for this NPI number is 10/26/2023 and was last updated on 10/26/2023.


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
1101YM0800XCounselorMental HealthNo
2103K00000XBehavior AnalystNo
3103G00000XClinical NeuropsychologistYes

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: 5/5/2024

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