Provider Demographics
NPI:1790406007
Name:REACHING BEYOND LIMITS BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:REACHING BEYOND LIMITS BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BART
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:570-763-5026
Mailing Address - Street 1:844 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-3302
Mailing Address - Country:US
Mailing Address - Phone:570-763-5026
Mailing Address - Fax:
Practice Address - Street 1:844 W MARKET ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-3302
Practice Address - Country:US
Practice Address - Phone:570-763-5026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health