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Organization

BEACON HEALING & WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PHILLIP SEAN WENDELL (CEO)
(225) 810-4040
Entity
Organization

Contact information

Practice address
671 RIVER HIGHLANDS BLVD STE 8, COVINGTON, LA 70433-8987
(985) 624-2942
(985) 231-1373
Mailing address
14707 PERKINS RD, BATON ROUGE, LA 70810-2216
(225) 810-4040
(225) 810-4050

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist

Other

Enumeration date
05/03/2021
Last updated
11/13/2023
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