Provider Demographics
NPI:1275420028
Name:BEACON BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:BEACON BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:BYRNES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-963-0324
Mailing Address - Street 1:875 RIO EAST CT STE C
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-8050
Mailing Address - Country:US
Mailing Address - Phone:434-963-0324
Mailing Address - Fax:844-276-1996
Practice Address - Street 1:875 RIO EAST CT STE C
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-8050
Practice Address - Country:US
Practice Address - Phone:434-963-0324
Practice Address - Fax:844-276-1996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty