Healthcare Provider Details

I. General information

NPI: 1306760467
Provider Name (Legal Business Name): BEECON RECOVERY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 S MAIN ST
BRIGHAM CITY UT
84302-6719
US

IV. Provider business mailing address

60 S MAIN ST
BRIGHAM CITY UT
84302-6719
US

V. Phone/Fax

Practice location:
  • Phone: 435-239-8768
  • Fax: 435-921-5938
Mailing address:
  • Phone: 435-239-8768
  • Fax: 435-921-5938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ALEJANDRA MILLSAP
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LCSW
Phone: 435-239-8768