Beacon House Aftercare Program
Organization Active NPI Substance Abuse Rehabilitation Facility · Louisville, KY
NPI 1497436844 · NPPES record last updated Jul 28, 2023
Key facts
- NPI
- 1497436844
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- BEACON HOUSE AFTERCARE PROGRAM
- Practice address
- 963 S 2ND St
Louisville, KY 40203-2211 - Phone
- (502) 581-0765
- Fax
- (502) 581-1748
- NPI assigned
- Jul 28, 2023
- Organization subpart
- No
Authorized official
- Name
- Lee Russ Read, MA
- Title
- Ceo
- Phone
- (502) 581-0765
Practitioners 5
-
Sade Smith, CSW
-
Oliver Buren Richardson, LCADC, CSW
National Provider Directory
Locations
963 S 2nd St
Louisville, KY 40203
Phone (502) 581-0765
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Mental Health Counselor |
101YM0800X | |||
| Clinical Social Worker |
1041C0700X | |||
| Case Manager/Care Coordinator |
171M00000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
963 S 2ND St
Louisville, KY 40203-2211
Mailing address
963 S 2ND St
Louisville, KY 40203-2211
Phone (502) 581-0765
Other names
- Beacon House Aftercare
Other providers in Louisville, KY
- Susan M. Beach
- Abbie Beacham
- Timothy Beacham
- Garth Mervid Beache
- Nathaniel Beachy
- Beacon Senior Solutions, LLC
- Emily Michelle Beaird
- Jessica K Beal Korhonen
- John Wesley Beal
- Michael Evan Bealer
All providers in Louisville, KY · Substance Abuse Rehabilitation Facility in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2023. 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.