Provider Demographics
NPI:1245067917
Name:ABOVE & BEYOND CASE MANAGEMENT SERVICES
Entity type:Organization
Organization Name:ABOVE & BEYOND CASE MANAGEMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRELL-GOUDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-444-1097
Mailing Address - Street 1:179 SUMMERS ST STE 230
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-2131
Mailing Address - Country:US
Mailing Address - Phone:304-444-1097
Mailing Address - Fax:
Practice Address - Street 1:179 SUMMERS ST STE 230
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-2131
Practice Address - Country:US
Practice Address - Phone:304-444-1097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty