Provider Demographics
NPI:1386110617
Name:BEACON OF HOPE BUCKS COUNTY
Entity type:Organization
Organization Name:BEACON OF HOPE BUCKS COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO/FOUNDER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PHARO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:215-868-9044
Mailing Address - Street 1:6110 HARPERS XING
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-4515
Mailing Address - Country:US
Mailing Address - Phone:215-868-9044
Mailing Address - Fax:
Practice Address - Street 1:806 NEW RODGERS RD UNIT B
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007-2507
Practice Address - Country:US
Practice Address - Phone:215-788-2642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-14
Last Update Date:2018-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health