Provider Demographics
NPI:1609047604
Name:ABOVE AND BEYOND
Entity Type:Organization
Organization Name:ABOVE AND BEYOND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SONNIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-778-5635
Mailing Address - Street 1:1986 DALLAS DR STE 3
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-1400
Mailing Address - Country:US
Mailing Address - Phone:225-778-5635
Mailing Address - Fax:225-778-5632
Practice Address - Street 1:1986 DALLAS DR STE 3
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-1400
Practice Address - Country:US
Practice Address - Phone:225-778-5635
Practice Address - Fax:225-778-5632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA12106251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1373664Medicaid