Organization
BEACON BEHAVIORAL HOSPITAL LLC
Active
Other names
Beacon Behavioral Outpatient - Lutcher
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN WENDELL (CEO)
(225) 810-4040
Entity
Organization
Contact information
Practice address
2471 LOUISIANA AVE, LUTCHER, LA 70071-5413
(225) 258-6103
Mailing address
14707 PERKINS RD, BATON ROUGE, LA 70810-2216
(225) 810-4040
(225) 810-4050
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194102
MEDICARE
—
05
—
2184164
—
LA
Enumeration date
11/23/2010
Last updated
11/13/2023
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