Organization
BEACON MENTAL HEALTH ASSOCIATES OF VAN WERT L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS RUSSELL DNP, CNP, FNP, PMHNP (CEO)
(419) 362-5597
Entity
Organization
Contact information
Practice address
15797 MENDON RD, OHIO CITY, OH 45874-9237
(419) 362-5597
(888) 728-4024
Mailing address
15797 MENDON RD, OHIO CITY, OH 45874-9237
(419) 362-5597
(888) 728-4024
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/11/2026
Last updated
04/11/2026
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