Organization
BEACON MENTAL AND WELLNESS CENTER LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK MONEKE DHA (CEO)
(817) 366-0950
Entity
Organization
Contact information
Practice address
1534 N HAMPTON RD BLDG C, DESOTO, TX 75115-2302
(817) 366-0950
Mailing address
1534 N HAMPTON RD STE C, DESOTO, TX 75115-2505
(817) 366-0950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
10/30/2025
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