Provider Demographics
NPI:1073657540
Name:BEYOND LIMITS LEARNING, INC.
Entity Type:Organization
Organization Name:BEYOND LIMITS LEARNING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT &THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HATLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-656-2901
Mailing Address - Street 1:432 WATERFORD LAKE DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-8629
Mailing Address - Country:US
Mailing Address - Phone:919-656-2901
Mailing Address - Fax:919-447-0628
Practice Address - Street 1:432 WATERFORD LAKE DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-8629
Practice Address - Country:US
Practice Address - Phone:919-656-2901
Practice Address - Fax:919-869-1464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-17
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301630Medicaid