Provider Demographics
NPI:1417763277
Name:BEACONS OF HOPE COUNSELING AND WELLNESS LLC
Entity type:Organization
Organization Name:BEACONS OF HOPE COUNSELING AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:LESKO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:540-750-5261
Mailing Address - Street 1:902 17TH ST
Mailing Address - Street 2:
Mailing Address - City:RADFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24141-3312
Mailing Address - Country:US
Mailing Address - Phone:540-750-5261
Mailing Address - Fax:
Practice Address - Street 1:902 17TH ST
Practice Address - Street 2:
Practice Address - City:RADFORD
Practice Address - State:VA
Practice Address - Zip Code:24141-3312
Practice Address - Country:US
Practice Address - Phone:540-750-5261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty