Provider Demographics
NPI:1508629486
Name:BEYOND THERAPY BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:BEYOND THERAPY BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARP-WITHERSPOON
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC-S
Authorized Official - Phone:410-776-8639
Mailing Address - Street 1:201 MILFORD MILL RD STE 202
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-5903
Mailing Address - Country:US
Mailing Address - Phone:443-842-5104
Mailing Address - Fax:443-898-6911
Practice Address - Street 1:201 MILFORD MILL RD STE 202
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-5903
Practice Address - Country:US
Practice Address - Phone:443-842-5104
Practice Address - Fax:443-898-6911
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEYOND THERAPY BEHAVIORAL HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-02
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health