Beacon Bridge - Wilmington LLC
Organization Active NPI Community/Behavioral Health Agency · Wilmington, NC
NPI 1376365486 · NPPES record last updated Dec 8, 2024
Key facts
- NPI
- 1376365486
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- BEACON BRIDGE - WILMINGTON LLC
- Practice address
- 5425 Wrightsville Ave
Wilmington, NC 28403-6513 - Phone
- (833) 496-0445
- Fax
- (984) 208-5220
- NPI assigned
- Oct 29, 2024
- Organization subpart
- No
Authorized official
- Name
- Alexander Peter Yousif
- Title
- Ceo
- Phone
- (984) 282-6654
National Provider Directory
Locations
5425 Wrightsville Ave
Wilmington, NC 28403
Phone (833) 496-0445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
5425 Wrightsville Ave
Wilmington, NC 28403-6513
Mailing address
415 Dunstan Ave Ste B
Durham, NC 27707-2390
Phone (984) 282-6654
Other names
- Beacon Bridge of North Carolina
Other providers in Wilmington, NC
- Bayada Home Health Care, Inc.
- Jessica Helen Baylor
- Taylor Carlyle Bazemore
- Beach Care PC
- Jazz Alice Beach
- Beacon Counseling Center
- Beacon of Hope Counseling, PLLC
- Isabel Beadore
- Amy Beahan
- Beall Hearing Solutions, LLC.
All providers in Wilmington, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.