Organization
BEACON CLINIC, INC.
Active
Other names
Beacon Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NOEL E HOLDSWORTH I ARNP (DIRECTOR)
(941) 629-7855
Entity
Organization
Contact information
Practice address
3821 TAMIAMI TRL # D, PORT CHARLOTTE, FL 33952-8377
(941) 629-7855
(941) 629-9589
Mailing address
3821 TAMIAMI TRL # D, PORT CHARLOTTE, FL 33952-8377
(941) 629-7855
(941) 629-9589
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NP2596452
FL
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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