National Provider Identifier Database

BEACON BEHAVIORAL HEALTH LLC
Multi-Specialty

Contact Information

BEACON BEHAVIORAL HEALTH LLC
7516 E MAIN ST STE 5
MESA, AZ  85207-8332
Phone: 602-456-1414
Fax:
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X
Addiction (Substance Use Disorder) 101YA0400X
Adult Mental Health 261QM0850X
Case Management 251B00000X
Clinic/Center 261Q00000X
Clinical 1041C0700X
Community Health 261QC1500X
Community/Behavioral Health 251S00000X
Health Service 261QH0100X
Mental Health 101YM0800X
Mental Health (Including Community Mental Health Center) 261QM0801X
Psychologist 103T00000X
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for BEACON BEHAVIORAL HEALTH LLC

NPI Number 1205627387
Legal business name
LBN		 BEACON BEHAVIORAL HEALTH LLC
Authorized official JARRELL WOODS - (DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 05/16/2025
Last updated 09/04/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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