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Organization
BEACON MENTAL HEALTH ASSOCIATES OF VAN WERT L.L.C.
Active
Organization
BEACON MENTAL HEALTH ASSOCIATES OF VAN WERT L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS RUSSELL DNP, CNP, FNP, PMHNP (CEO)
(419) 406-0067
Entity
Organization
Contact information
Practice address
850 EUCLID AVE STE 8196798, CLEVELAND, OH 44114-3306
(419) 362-5597
Mailing address
850 EUCLID AVE STE 8196798, CLEVELAND, OH 44114-3306
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/24/2026
Last updated
08/24/2026
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