Provider Demographics
NPI:1205339066
Name:BEYOND THE PAST COUNSELING LLC
Entity type:Organization
Organization Name:BEYOND THE PAST COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:832-452-1993
Mailing Address - Street 1:2686 MURWORTH DR APT 506
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1610
Mailing Address - Country:US
Mailing Address - Phone:832-452-1993
Mailing Address - Fax:832-253-1178
Practice Address - Street 1:2686 MURWORTH DR APT 506
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1610
Practice Address - Country:US
Practice Address - Phone:832-452-1993
Practice Address - Fax:832-253-1178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-16
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX568861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty