Organization
BEACON COMMUNITY SERVICES
Active
Other names
Innovative Interventions, Inc., Beacon Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA LYNN RICE PH.D. (CLINICAL DIRECTOR)
(817) 739-8013
Entity
Organization
Contact information
Practice address
1560 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6462
(817) 745-4526
Mailing address
1560 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6462
(817) 745-4526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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