Provider Demographics
NPI:1083268015
Name:BEACON TRANISTIONS
Entity Type:Organization
Organization Name:BEACON TRANISTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:STAMEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-713-9584
Mailing Address - Street 1:836 3RD AVE W
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-4836
Mailing Address - Country:US
Mailing Address - Phone:828-713-9584
Mailing Address - Fax:
Practice Address - Street 1:836 3RD AVE W
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4836
Practice Address - Country:US
Practice Address - Phone:828-713-9584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-29
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty