Provider Demographics
NPI:1407186364
Name:ABOVE AND BEYOND
Entity Type:Organization
Organization Name:ABOVE AND BEYOND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:N/A
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:252-747-7002
Mailing Address - Street 1:201 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:HOOKERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28538-9609
Mailing Address - Country:US
Mailing Address - Phone:252-747-7002
Mailing Address - Fax:
Practice Address - Street 1:201 MAIN STREET
Practice Address - Street 2:
Practice Address - City:HOOKERTON
Practice Address - State:NC
Practice Address - Zip Code:28538-9609
Practice Address - Country:US
Practice Address - Phone:252-747-7002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-28
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty