Organization
BEACON BEHAVIORAL OUTPATIENT JACKSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS THOMASON (VP OF RCM)
(504) 910-6056
Entity
Organization
Contact information
Practice address
5898 RIDGEWOOD RD STE A, JACKSON, MS 39211-2661
(225) 810-4040
(225) 810-4050
Mailing address
14707 PERKINS RD, BATON ROUGE, LA 70810-2216
(225) 810-4040
(225) 810-4050
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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