BEACON BEHAVIORAL HEALTH LLC; NPI #1205627387

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	Specialty Code	Provider Type
Multi-Specialty	261QM1300X	70	Clinic or Group Practice
Addiction (Substance Use Disorder)	101YA0400X
Adult Mental Health	261QM0850X
Case Management	251B00000X
Clinic/Center	261Q00000X
Clinical	1041C0700X	80	Licensed Clinical Social Worker
Community Health	261QC1500X
Community/Behavioral Health	251S00000X
Health Service	261QH0100X
Mental Health	101YM0800X
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center
Psychologist	103T00000X	62	Psychologist, Clinical
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	B4[14]	Comprehensive Outpatient Rehabilitation Facility
Rehabilitation, Substance Use Disorder	261QR0405X

Indicates primary specialty

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NPI Profile & details for BEACON BEHAVIORAL HEALTH LLC

NPI Number	`1205627387`
LBN Legal business name	BEACON BEHAVIORAL HEALTH LLC
Authorized official	JARRELL WOODS - (DIRECTOR)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	05/16/2025
Last updated	09/04/2025 - About 9 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BEACON BEHAVIORAL HEALTH LLC

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NPI Profile & details for BEACON BEHAVIORAL HEALTH LLC

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