# THE BEACON

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

## Provider details

- **NPI number:** 1669276978
- **Authorized official:** BRYAN GEORGE HERNANDEZ (TREASURER)
- **Authorized official phone:** (775) 376-0108

## Contact information

- **Practice address:** 731 FALL ST, FERNLEY, NV 89408-5698
- **Practice address phone:** (775) 223-8225
- **Mailing address:** 731 FALL ST, FERNLEY, NV 89408-5698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2025
- **Last updated:** 04/03/2025
