# BEACON BEHAVIORAL HOSPITAL LLC

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

## Provider details

- **NPI number:** 1811579980
- **Authorized official:** PHILLIP SEAN WENDELL (CEO)
- **Authorized official phone:** (225) 810-4040

## Contact information

- **Practice address:** 2471 LOUISIANA AVE, LUTCHER, LA 70071-5413
- **Practice address phone:** (225) 258-6103
- **Practice address fax:** (225) 258-6116
- **Mailing address:** 4601 BLUEBONNET BLVD STE B, BATON ROUGE, LA 70809-9656
- **Mailing address phone:** (225) 810-4040
- **Mailing address fax:** (225) 810-4050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 276400000X | Substance Use Disorder Rehabilitation Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 04/27/2021
- **Last updated:** 04/27/2021