Organization
BEACON BEHAVIORAL HOSPITAL LLC
Active
Parent organization
BEACON BEHAVIORAL HOSPITAL LLC
Other names
Beacon Behavioral Outpatient - Hammond
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEACON BEHAVIORAL HOSPITAL LLC
Authorized official
MR. PHILLIP SEAN WENDELL (CEO)
(225) 810-4040
Entity
Organization
Contact information
Practice address
42382 DELUXE PLZ STE 34, HAMMOND, LA 70403-1236
(985) 956-7378
(985) 956-7381
Mailing address
4601 BLUEBONNET BLVD STE B, BATON ROUGE, LA 70809-9656
(225) 810-4040
(225) 810-4050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194102
MEDICARE
—
05
—
2184164
—
LA
Enumeration date
02/19/2020
Last updated
12/24/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us