Provider Demographics
NPI:1265915243
Name:THERAPY BEYOND INSTINCT
Entity type:Organization
Organization Name:THERAPY BEYOND INSTINCT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/ THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SYM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:845-304-2650
Mailing Address - Street 1:6 CARTERET CT
Mailing Address - Street 2:
Mailing Address - City:ALLENDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07401-1821
Mailing Address - Country:US
Mailing Address - Phone:845-304-2650
Mailing Address - Fax:
Practice Address - Street 1:65 N MAPLE AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-3233
Practice Address - Country:US
Practice Address - Phone:201-389-8896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-14
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherOUT OF NETWORK