Provider Demographics
NPI:1649839879
Name:BEYOND COUNSELING LLC
Entity type:Organization
Organization Name:BEYOND COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPCC
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TROUMBLY
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:218-999-9432
Mailing Address - Street 1:813 S POKEGAMA AVE STE B
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55744-3934
Mailing Address - Country:US
Mailing Address - Phone:218-999-9432
Mailing Address - Fax:218-999-0205
Practice Address - Street 1:813 S POKEGAMA AVE STE B
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55744-3934
Practice Address - Country:US
Practice Address - Phone:218-259-2370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-11
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1164610986Medicaid