Organization
BEACON WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUJONG CHANG LPC (OWNER/LPC)
(706) 881-3441
Entity
Organization
Contact information
Practice address
314 GREENVILLE ST, LAGRANGE, GA 30241-3232
(706) 881-3441
Mailing address
205 N LEWIS ST STE A, LAGRANGE, GA 30240-2752
(706) 881-3441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
03/23/2026
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