Provider Demographics
NPI:1134599665
Name:BEACON POINT COUNSELING & WELLNESS LLC
Entity type:Organization
Organization Name:BEACON POINT COUNSELING & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:THORNSBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:678-712-6100
Mailing Address - Street 1:15 SHENANDOAH PASS
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-3605
Mailing Address - Country:US
Mailing Address - Phone:678-712-6100
Mailing Address - Fax:
Practice Address - Street 1:1122 MONTICELLO ST SW
Practice Address - Street 2:UNIT 21
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014-2306
Practice Address - Country:US
Practice Address - Phone:678-712-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-27
Last Update Date:2015-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty