OrganizationActive
Beacon Behavioral Outpatient - Bogalusa LLC
NPI 1659168490 · Community/Behavioral Health Agency · Bogalusa, LA
Provider details
- NPI number
- 1659168490
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Phillip Wendell, Ceo(225) 252-4758
Specialties & taxonomies
Agencies
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
1640 S Columbia St
Bogalusa, LA 70427-5800
Phone: (985) 735-1750
Approximate (ZIP-level) locationGet directions
Mailing address
14707 Perkins Rd
Baton Rouge, LA 70810-2216
Registry dates
- Enumerated
- 2025-04-24
- Last updated
- 2025-04-24
- Certified
- 2025-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.