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Beacon St. Psychiatry
Psychiatric/Mental Health Nurse Practitioner in Centerville, Ohio
NPI 1780460006

Beacon St. Psychiatry is a Psychiatric/Mental Health Nurse Practitioner based in Centerville, OH and is specialized in Psychiatric/Mental Health. Beacon St. Psychiatry practices in Centerville, OH. The NPI Number for Beacon St. Psychiatry is 1780460006 and holds a License No. (Ohio).

The current practice location address for Beacon St. Psychiatry is 10552 Success Ln Ste L, Centerville, OH and can be reached out via phone at 937-280-5711.

Location: 10552 Success Ln Ste L, Centerville, OH, 45458-3664
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780460006
Provider Name
Beacon St. Psychiatry
Credential
Provider Entity Type
Organization
Address
10552 Success Ln Ste L, Centerville, OH, 45458-3664
Phone Number
937-280-5711
Fax Number
Provider Enumeration Date
09/01/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10552 Success Ln Ste L
City
Centerville
State
Ohio
Zip
45458-3664
Phone Number
937-280-5711
Fax Number
person
Provider Business Mailing Address Details
Address
10552 Success Ln Ste L
City
Centerville
State
Ohio
Zip
45458-3664
Phone Number
937-280-5711
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
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Definition
Definition to come...
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