Organization
BEACONLIGHT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON PAUL WAGGONER PHD (OWNER)
(304) 444-7315
Entity
Organization
Contact information
Practice address
101 CARRIAGE WAY STE 200, HURRICANE, WV 25526-1530
(304) 305-1309
Mailing address
101 CARRIAGE WAY STE 200, HURRICANE, WV 25526-1530
(304) 444-7315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/20/2025
Last updated
11/03/2025
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