Organization
BEACON PSYCHIATRY, LLC
Active
Other names
Beacon Psychiatry, LLC, Beacon Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINH PHUONG THI DINH MD (OWNER/MEDICAL DIRECTOR)
(727) 793-5558
Entity
Organization
Contact information
Practice address
3610 GALILEO DR STE 101, TRINITY, FL 34655-1794
(727) 456-9135
Mailing address
3610 GALILEO DR STE 101, TRINITY, FL 34655-1794
(727) 456-9135
(727) 456-9134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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