# BEACON OF LIGHT BEHAVIORAL HEALTH, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245983824
- **Authorized official:** DR. NATASHA REGINA PORTER PHD, LMFT, LPCC-S (CEO/CLINICAL DIRECTOR)
- **Authorized official phone:** (270) 900-1358

## Contact information

- **Practice address:** 300 W DIXIE AVE STE 11, ELIZABETHTOWN, KY 42701-1764
- **Practice address phone:** (270) 900-1358
- **Practice address fax:** (844) 444-1150
- **Mailing address:** 300 W DIXIE AVE STE 11, ELIZABETHTOWN, KY 42701-1764
- **Mailing address phone:** (270) 900-1358
- **Mailing address fax:** (844) 444-1150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2022
- **Last updated:** 09/17/2022