Provider Demographics
NPI:1356104327
Name:BEYOND THERAPY BEHAVIORAL HEALTH, LLC
Entity type:Organization
Organization Name:BEYOND THERAPY BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERR
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARP-WITHERSPOON
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC-S
Authorized Official - Phone:410-776-8639
Mailing Address - Street 1:201 MILFORD MILL RD STE 202
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-5903
Mailing Address - Country:US
Mailing Address - Phone:443-842-5104
Mailing Address - Fax:443-898-6911
Practice Address - Street 1:201 MILFORD MILL RD STE 202
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-5903
Practice Address - Country:US
Practice Address - Phone:443-842-5104
Practice Address - Fax:443-898-6911
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEYOND THERAPY BEHAVIORAL HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-02
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children