Organization
BEACON LIGHT MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS LEDGERWOOD PMHNP-BC (NP)
(303) 956-0413
Entity
Organization
Contact information
Practice address
550 W HIGHWAY 105 STE 100, MONUMENT, CO 80132-9119
(719) 373-5336
(949) 695-2184
Mailing address
545 3RD ST UNIT 3372, MONUMENT, CO 80132-4636
(303) 956-0413
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
03/25/2023
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