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Organization

BEACON WELLNESS SOLUTIONS LLC

Active
Parent organization
BEACON WELLNESS SOLUTIONS LLC
Other names
Beacon Wellness and Psychiatry
Organization subpart
Yes

Provider details

NPI number
Legal business name
BEACON WELLNESS SOLUTIONS LLC
Authorized official
MRS. KAROLYN WILDER PMHNP-BC (PROVIDER/MEMBER)
(231) 881-8838
Entity
Organization

Contact information

Practice address
101 LEWIS ST STE 2, PETOSKEY, MI 49770
(231) 881-8838
(231) 622-8037
Mailing address
101 LEWIS ST STE 2, PETOSKEY, MI 49770
(231) 881-8838

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
01/19/2022
Last updated
10/24/2023
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