| Beacon Bridge Of West Virginia | |
| 5662 Brier Creek Rd Davy WV 24828-8802 | |
| (984) 282-6654 | |
| (984) 208-5220 | 
| Full Name | Beacon Bridge Of West Virginia | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 5662 Brier Creek Rd, Davy, West Virginia | 
| Authorized Official Name and Position | Alexander Yousif (FOUNDER & CEO) | 
| Authorized Official Contact | 9842826654 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Beacon Bridge Of West Virginia 415 Dunstan Ave Ste B Durham NC 27707-2390 Ph: (984) 282-6654 | Beacon Bridge Of West Virginia 5662 Brier Creek Rd Davy WV 24828-8802 Ph: (984) 282-6654 | 
| NPI Number | 1528873502 | 
|---|---|
| Provider Enumeration Date | 02/07/2025 | 
| Last Update Date | 02/07/2025 | 
| Certification Date | 02/07/2025 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528873502 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |