Organization
BEACON BEHAVIORAL HEALTH - SOUTHERN MISSISSIPPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP SEAN WENDELL (CEO)
(225) 810-4040
Entity
Organization
Contact information
Practice address
310 CAHAL ST, SUITE B, HATTIESBURG, MS 39401-2900
(601) 602-0221
(601) 602-0225
Mailing address
9938 AIRLINE HWY, SUITE 200, BATON ROUGE, LA 70816-8100
(225) 810-4040
(225) 810-4050
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/15/2007
Last updated
08/22/2020
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