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BEACON BEHAVIORAL HEALTH SERVICES NPI 1891374930


NPI Information

NPI: 1891374930
Provider Name: BEACON BEHAVIORAL HEALTH SERVICES
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 36D2219900

Address:
114 N WOOD ST
FREMONT, OH
ZIP 43420
Phone: (567) 201-2048
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BEACON BEHAVIORAL HEALTH SERVICES is a community behavioral health in Fremont, OH. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. BEACON BEHAVIORAL HEALTH SERVICES NPI is 1891374930. The provider is registered as an organization entity type.

The provider's business location address is:

114 N WOOD ST
FREMONT, OH
ZIP 43420-440
Phone: (567) 201-2048
Fax: (567) 280-4395

The provider's authorized official is Melissa Ann Tester .
The authorized official title is Owner/executive Director and has the following contact phone number (567) 201-2048.

The CLIA number assigned to this NPI record is 36D2219900 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2021 and was last updated on 4/6/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral 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: 4/28/2024

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