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BEACON BEHAVIORAL HEALTH NORTHSHORE INC
NPI 1215929211
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mandeville, LA

Active since August 17, 2005
820 ASBURY DR, MANDEVILLE, LA 70471(985) 727-6090(985) 727-6096 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beacon Behavioral Health Northshore Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACON BEHAVIORAL HEALTH NORTHSHORE INC (NPI 1215929211), doing business as Crescent Community Care Inc, is a healthcare organization registered as a mental health (including community mental health center) in Mandeville, Louisiana and active in the NPI registry since August 2005. The organization lists Earl J Wilde, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1215929211
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBEACON BEHAVIORAL HEALTH NORTHSHORE INC
Location Address820 ASBURY DRMandeville, LA 70471
Mailing Address9938 Airline Hwy, Suite 200Baton Rouge, LA 70816-8100 · (225) 810-4040 · Fax (225) 810-4050
Phone(985) 727-6090
Fax(985) 727-6096
Organization SubpartNo
Authorized OfficialEarl J WildeChairman Of The Board · (225) 810-4040
Enumeration DateAugust 17, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1215929211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
820 ASBURY DR, Mandeville, LA 70471
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Other Names 1

Former Legal Business NameCrescent Community Care Inc

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID SCOTT MIDDLETON
Counselor (Professional)
820 ASBURY DR
MANDEVILLE, LA 70471
St. Tammany Parish (985) 674-5155
TANESHA ROYAL MSW
Case Manager/Care Coordinator
820 ASBURY DR
MANDEVILLE, LA 70471
St. Tammany Parish (985) 674-5155
DIONELLE PITTMAN
Case Manager/Care Coordinator
820 ASBURY DR
MANDEVILLE, LA 70471
St. Tammany Parish (985) 674-5155
DAMON COUSIN JR.
Social Worker
820 ASBURY DR
MANDEVILLE, LA 70471
St. Tammany Parish (985) 674-5155
JOYCE HUNTER
Case Manager/Care Coordinator
820 ASBURY DR
MANDEVILLE, LA 70471
St. Tammany Parish (985) 674-5155
MONICA MCCONNELL
Case Manager/Care Coordinator
820 ASBURY DR
MANDEVILLE, LA 70471
St. Tammany Parish (985) 674-5155
TRINITY COUNSELING CENTER
Community/Behavioral Health
820 ASBURY DR
MANDEVILLE, LA 70471
St. Tammany Parish (985) 674-5155
STEPHEN GILMORE BSW, RSW
Case Manager/Care Coordinator
820 ASBURY DR
MANDEVILLE, LA 70471
St. Tammany Parish (985) 674-5155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beacon Behavioral Health Northshore Inc's NPI number?

The NPI number for Beacon Behavioral Health Northshore Inc is 1215929211. It was assigned to this organization in the NPPES registry on August 17, 2005. The provider was formerly known as Crescent Community Care Inc.

Where is Beacon Behavioral Health Northshore Inc located?

Beacon Behavioral Health Northshore Inc is located at 820 Asbury Dr, Mandeville, LA 70471. The listed phone number is (985) 727-6090.

What is Beacon Behavioral Health Northshore Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Beacon Behavioral Health Northshore Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.