Provider Demographics
NPI:1073110383
Name:BEACON COUNSELING SERVICES PLLC
Entity Type:Organization
Organization Name:BEACON COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LORY
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:HELLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, CCMHC
Authorized Official - Phone:701-712-5802
Mailing Address - Street 1:4205 STATE ST STE 5
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-0623
Mailing Address - Country:US
Mailing Address - Phone:701-214-5530
Mailing Address - Fax:701-712-5587
Practice Address - Street 1:4205 STATE ST STE 5
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-0623
Practice Address - Country:US
Practice Address - Phone:701-214-5530
Practice Address - Fax:701-712-5587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty