Beacon Of Light Behavioral Health, Llc. | |
300 W Dixie Ave Ste 11 Elizabethtown KY 42701-1764 | |
(270) 900-1358 | |
(844) 444-1150 |
Full Name | Beacon Of Light Behavioral Health, Llc. |
---|---|
Speciality | Marriage & Family Therapist |
Location | 300 W Dixie Ave Ste 11, Elizabethtown, Kentucky |
Authorized Official Name and Position | Natasha Regina Porter (CEO/CLINICAL DIRECTOR) |
Authorized Official Contact | 2709001358 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Beacon Of Light Behavioral Health, Llc. 300 W Dixie Ave Ste 11 Elizabethtown KY 42701-1764 Ph: (270) 900-1358 | Beacon Of Light Behavioral Health, Llc. 300 W Dixie Ave Ste 11 Elizabethtown KY 42701-1764 Ph: (270) 900-1358 |
NPI Number | 1245983824 |
---|---|
Provider Enumeration Date | 02/02/2022 |
Last Update Date | 09/17/2022 |
Certification Date | 09/17/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245983824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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