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General NPI Number Information
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NPI Number | 1831028810
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Entity Type | Organization
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Legal Business Name | BEACON LIGHT COUNSELING, PLLC
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 502 BISHOPS RIDGE PKWY # 28606
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City | BLOWING ROCK
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State | NC
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Zip | 28605-9641
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Country | US
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Telephone | 704-389-0508
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Fax |
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Provider Business Mailing Address
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Address Line | 5059 DOWNING DR
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City | FORT MILL
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State | SC
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Zip | 29708-6518
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Country | US
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Telephone | 617-529-7475
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW SYDNEY
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Credential | LCMHC
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Telephone | 617-529-7475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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