Provider Demographics
NPI:1689892853
Name:BEACON INC
Entity Type:Organization
Organization Name:BEACON INC
Other - Org Name:SPEECH LANGUAGE PATHOLOGY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANNIE
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:TURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSP
Authorized Official - Phone:864-292-5154
Mailing Address - Street 1:4501 OLD SPARTANBURG RD STE 7
Mailing Address - Street 2:EASTSIDE PROFESSIONAL COURT
Mailing Address - City:TAYLORS
Mailing Address - State:SC
Mailing Address - Zip Code:29687-4105
Mailing Address - Country:US
Mailing Address - Phone:864-292-5154
Mailing Address - Fax:864-292-5154
Practice Address - Street 1:4501 OLD SPARTANBURG RD STE 7
Practice Address - Street 2:EASTSIDE PROFESSIONAL COURT
Practice Address - City:TAYLORS
Practice Address - State:SC
Practice Address - Zip Code:29687-4105
Practice Address - Country:US
Practice Address - Phone:864-292-5154
Practice Address - Fax:864-292-5154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty