Provider Demographics
NPI:1508533829
Name:BEYOND HORIZONS COUNSELING CORNER
Entity Type:Organization
Organization Name:BEYOND HORIZONS COUNSELING CORNER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAMALA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORUAMABO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:904-581-4350
Mailing Address - Street 1:7643 GATE PKWY UNIT 104-1153
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-2893
Mailing Address - Country:US
Mailing Address - Phone:904-581-4350
Mailing Address - Fax:
Practice Address - Street 1:7643 GATE PKWY UNIT 104-1153
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-2893
Practice Address - Country:US
Practice Address - Phone:904-581-4350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty