Organization
BEACON BEHAVIORAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONDA O FALK MSW, LCSW (MEMBER MANAGER)
(919) 880-7613
Entity
Organization
Contact information
Practice address
3207 ROGERS RD, SUITE 204, WAKE FOREST, NC 27587-3834
(919) 880-7613
(919) 366-9705
Mailing address
PO BOX 370, ROLESVILLE, NC 27571-0370
(919) 880-7613
(919) 366-9705
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004632
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136FC
BCBSNC
NC
05
—
6002797
—
NC
Enumeration date
07/18/2006
Last updated
08/22/2020
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