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Organization

BEACON BEHAVIORAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JUDITH A KUILAN (BILLING)
(860) 676-9350
Entity
Organization

Contact information

Practice address
40 DALE ROAD, SUITE 201, AVON, CT 06000
(860) 676-9350
(860) 678-7178
Mailing address
433 S MAIN ST STE 327, WEST HARTFORD, CT 06110-2816
(860) 676-9350
(860) 678-7178

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50BEACON8CT01
ANTHEM BC & BS
CT
Enumeration date
11/01/2006
Last updated
04/17/2018
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