Provider Demographics
NPI:1669146171
Name:THERAPY & BEYOND MEDICAL MANAGEMENT, LLC
Entity type:Organization
Organization Name:THERAPY & BEYOND MEDICAL MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ATAMAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-892-7500
Mailing Address - Street 1:2020 E HEBRON PARKWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-1609
Mailing Address - Country:US
Mailing Address - Phone:469-892-7500
Mailing Address - Fax:469-575-3002
Practice Address - Street 1:2020 E HEBRON PARKWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-1609
Practice Address - Country:US
Practice Address - Phone:469-892-7500
Practice Address - Fax:469-575-3002
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEACH ME HOLDINGS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-07
Last Update Date:2021-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health