Provider Demographics
NPI:1275245276
Name:BEACON OF HOPE COMPREHENSIVE COUNSELING, LLC.
Entity Type:Organization
Organization Name:BEACON OF HOPE COMPREHENSIVE COUNSELING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-519-2537
Mailing Address - Street 1:10002 SOUTHWICK CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-4380
Mailing Address - Country:US
Mailing Address - Phone:804-519-2537
Mailing Address - Fax:540-693-6757
Practice Address - Street 1:10002 SOUTHWICK CT
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-4380
Practice Address - Country:US
Practice Address - Phone:804-519-2537
Practice Address - Fax:540-693-6757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health