Provider Demographics
NPI:1558146092
Name:BEYOND BRIDGING LLC
Entity Type:Organization
Organization Name:BEYOND BRIDGING LLC
Other - Org Name:BEYOND BRIDGING P.L.L.C
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ELHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAWY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:313-289-4805
Mailing Address - Street 1:18825 RUTH ST
Mailing Address - Street 2:
Mailing Address - City:MELVINDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48122-1546
Mailing Address - Country:US
Mailing Address - Phone:313-289-4805
Mailing Address - Fax:
Practice Address - Street 1:18825 RUTH ST
Practice Address - Street 2:
Practice Address - City:MELVINDALE
Practice Address - State:MI
Practice Address - Zip Code:48122-1546
Practice Address - Country:US
Practice Address - Phone:313-289-4805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2024-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No385H00000XRespite Care FacilityRespite CareGroup - Single Specialty