Provider Demographics
NPI:1518649722
Name:SKILLS BEYOND, LLC
Entity Type:Organization
Organization Name:SKILLS BEYOND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIXON
Authorized Official - Suffix:
Authorized Official - Credentials:LPCA
Authorized Official - Phone:860-519-2050
Mailing Address - Street 1:11 LINCOLN ST.
Mailing Address - Street 2:
Mailing Address - City:WINDSOR LOCKS
Mailing Address - State:CT
Mailing Address - Zip Code:06096-2718
Mailing Address - Country:US
Mailing Address - Phone:860-519-2050
Mailing Address - Fax:
Practice Address - Street 1:11 LINCOLN ST.
Practice Address - Street 2:
Practice Address - City:WINDSOR LOCKS
Practice Address - State:CT
Practice Address - Zip Code:06096-2718
Practice Address - Country:US
Practice Address - Phone:860-292-0899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty