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BEACON BEHAVIORAL OUTPATIENT - BOGALUSA
NPI 1558994434
Counselor - Mental Health in Bogalusa, LA

Active since February 19, 2020
1640 S COLUMBIA ST STE B, BOGALUSA, LA 70427(985) 735-1750(985) 735-1752 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2021, Feb 19, 2020 (2 updates tracked since 2020).

About Beacon Behavioral Outpatient - Bogalusa NPPES

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

BEACON BEHAVIORAL OUTPATIENT - BOGALUSA (NPI 1558994434) is a healthcare organization registered as a mental health in Bogalusa, Louisiana and active in the NPI registry since February 2020. The organization lists Phillip Sean Wendell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558994434
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBEACON BEHAVIORAL HOSPITAL NORTHSHORE, LLC
Location Address1640 S COLUMBIA ST STE BBogalusa, LA 70427-5800
Mailing Address4601 Bluebonnet Blvd Ste BBaton Rouge, LA 70809-9656 · (225) 810-4040 · Fax (225) 810-4050
Phone(985) 735-1750
Fax(985) 735-1752
Organization SubpartYes
Authorized OfficialPhillip Sean WendellCeo · (225) 810-4040
Enumeration DateFebruary 19, 2020
Last NPPES UpdateApril 12, 20212 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
✔ NPI 1558994434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
1640 S COLUMBIA ST STE B, Bogalusa, LA 70427
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Other Names 1

Doing Business AsBeacon Behavioral Outpatient - Bogalusa

Other Identifiers 3

Other194080Medicare
Medicaid1709549LA
Medicaid08036043MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Hospital Northshore, LLC's NPI number?

The NPI number for Beacon Behavioral Hospital Northshore, LLC is 1558994434. It was assigned to this organization in the NPPES registry on February 19, 2020. The provider is doing business as Beacon Behavioral Outpatient - Bogalusa.

Where is Beacon Behavioral Hospital Northshore, LLC located?

Beacon Behavioral Hospital Northshore, LLC is located at 1640 S Columbia St Ste B, Bogalusa, LA 70427. The listed phone number is (985) 735-1750.

What is Beacon Behavioral Hospital Northshore, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Beacon Behavioral Hospital Northshore, LLC was last updated on April 12, 2021. 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.