Provider Demographics
NPI:1285197756
Name:BEYOND BRINK
Entity Type:Organization
Organization Name:BEYOND BRINK
Other - Org Name:WECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO / FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:BRINK
Authorized Official - Suffix:
Authorized Official - Credentials:CPRSR
Authorized Official - Phone:507-779-1075
Mailing Address - Street 1:314 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-3032
Mailing Address - Country:US
Mailing Address - Phone:507-779-7091
Mailing Address - Fax:507-779-7092
Practice Address - Street 1:314 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-3032
Practice Address - Country:US
Practice Address - Phone:507-779-7091
Practice Address - Fax:507-779-7092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-10
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty