Provider Demographics
NPI:1770035552
Name:BEYOND CARE
Entity Type:Organization
Organization Name:BEYOND CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEZELLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LONG-WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:504-881-6096
Mailing Address - Street 1:3100 RIDGELAKE DR
Mailing Address - Street 2:205
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-4964
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3100 RIDGELAKE DR
Practice Address - Street 2:205
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4964
Practice Address - Country:US
Practice Address - Phone:504-881-6096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health