Organization
BEACON BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE LOPEZ (CEO)
(407) 927-9619
Entity
Organization
Contact information
Practice address
3044 MICHIGAN AVE, KISSIMMEE, FL 34744-1210
(407) 927-9617
Mailing address
3044 MICHIGAN AVE, KISSIMMEE, FL 34744-1210
(407) 927-9617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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