Organization
BEACONSTAR COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY LYNN PECK LPC, CRADC (MANAGING MEMBER/OWNER)
(417) 882-7827
Entity
Organization
Contact information
Practice address
3032 S FREMONT AVE, SUITE C200, SPRINGFIELD, MO 65804-4210
(417) 882-7827
Mailing address
3032 S FREMONT AVE, SUITE C200, SPRINGFIELD, MO 65804-4210
(417) 882-7827
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
002112 (LPC)
MO
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
002112 (LPC)
MO
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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