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Organization
BEACON OF LIGHT BEHAVIORAL HEALTH, LLC.
Active
Organization
BEACON OF LIGHT BEHAVIORAL HEALTH, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATASHA REGINA PORTER PHD, LMFT, LPCC-S (CEO/CLINICAL DIRECTOR)
(270) 900-1358
Entity
Organization
Contact information
Practice address
300 W DIXIE AVE STE 11, ELIZABETHTOWN, KY 42701-1764
(270) 900-1358
(844) 444-1150
Mailing address
300 W DIXIE AVE STE 11, ELIZABETHTOWN, KY 42701-1764
(270) 900-1358
(844) 444-1150
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
09/17/2022
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