Healthcare Provider Details

I. General information

NPI: 1033077045
Provider Name (Legal Business Name): BEACON POINT COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2026
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 W 700 S
EPHRAIM UT
84627-1524
US

IV. Provider business mailing address

564 S 100 E
MANTI UT
84642-1703
US

V. Phone/Fax

Practice location:
  • Phone: 435-851-0458
  • Fax:
Mailing address:
  • Phone: 435-851-0458
  • Fax:

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: MATTHEW ALOF LARSON
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: CMHC
Phone: 435-851-0458