Provider Demographics
NPI:1497360655
Name:BEYOND LISTENING PLLC
Entity Type:Organization
Organization Name:BEYOND LISTENING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AVA
Authorized Official - Middle Name:W
Authorized Official - Last Name:DICKENS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCA
Authorized Official - Phone:336-580-0116
Mailing Address - Street 1:PO BOX 1684
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27282-1684
Mailing Address - Country:US
Mailing Address - Phone:336-580-0116
Mailing Address - Fax:
Practice Address - Street 1:301 S MAIN ST STE 135
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4900
Practice Address - Country:US
Practice Address - Phone:336-638-1338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)