Organization
BEACON BEHAVIORAL OUTPATIENT - BATON ROUGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP SEAN WENDELL (CEO)
(225) 252-4758
Entity
Organization
Contact information
Practice address
10425 PLAZA AMERICANA DR, BATON ROUGE, LA 70816-8188
(504) 910-6056
Mailing address
14707 PERKINS RD, BATON ROUGE, LA 70810-2216
(504) 910-6056
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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