| Beacon Pathways | |
|
7700 Irvine Center Dr Ste 800 Irvine CA 92618-3047 | |
| (317) 316-2787 | |
| Not Available |
| Full Name | Beacon Pathways |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7700 Irvine Center Dr Ste 800, Irvine, California |
| Authorized Official Name and Position | Staci R Johnson (SUPERVISOR/THERAPIST) |
| Authorized Official Contact | 3173162787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Pathways 7700 Irvine Center Dr Ste 800 Irvine CA 92618-3047 Ph: (317) 316-2787 | Beacon Pathways 7700 Irvine Center Dr Ste 800 Irvine CA 92618-3047 Ph: (317) 316-2787 |
| NPI Number | 1023992211 |
|---|---|
| Provider Enumeration Date | 08/01/2025 |
| Last Update Date | 08/01/2025 |
| Certification Date | 07/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023992211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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