Provider Demographics
NPI:1437783750
Name:BEYOND LIMITS MENTAL HEALTH & WELLNESS, LLC
Entity Type:Organization
Organization Name:BEYOND LIMITS MENTAL HEALTH & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AKIVA
Authorized Official - Middle Name:SHANAE
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:121-574-0434
Mailing Address - Street 1:1646 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-4632
Mailing Address - Country:US
Mailing Address - Phone:121-574-0434
Mailing Address - Fax:
Practice Address - Street 1:501 WASHINGTON LN
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3145
Practice Address - Country:US
Practice Address - Phone:215-740-4342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health