Organization · Type 2 NPI
Beacon Clinic, Inc.
Mental Health Counselor · Port Charlotte, FL
NPI number
1194803734
Active
Practice location
3821 Tamiami Trl # D
Port Charlotte, FL 33952-8377
Fax (941) 629-9589
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | NP2596452 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1194803734
Beacon Clinic, Inc.'s National Provider Identifier is 1194803734, issued on Nov 1, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port Charlotte, FL. The record was last updated on Aug 22, 2020.