Healthcare Provider Details

I. General information

NPI: 1013851070
Provider Name (Legal Business Name): BEACON PSYCHIATRY AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8350 W GRANDRIDGE BLVD STE 200
KENNEWICK WA
99336-1678
US

IV. Provider business mailing address

8524 W GAGE BLVD STE A1
KENNEWICK WA
99336-8241
US

V. Phone/Fax

Practice location:
  • Phone: 509-942-1124
  • Fax: 509-516-1530
Mailing address:
  • Phone: 509-942-1124
  • Fax: 509-516-1530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TERESA R ROBINSON
Title or Position: OWNER
Credential: DNP, ARNP, PMHNP-BC
Phone: 509-222-8300