Provider Demographics
NPI:1811180482
Name:BEYOND LIMITS LEARNING, INC.
Entity type:Organization
Organization Name:BEYOND LIMITS LEARNING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HATLEY
Authorized Official - Suffix:
Authorized Official - Credentials:BS, CCLS, ITFS
Authorized Official - Phone:919-656-2901
Mailing Address - Street 1:5509 POINT LAKE CT
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-9349
Mailing Address - Country:US
Mailing Address - Phone:919-656-2901
Mailing Address - Fax:188-889-3435
Practice Address - Street 1:5509 POINT LAKE CT
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-9349
Practice Address - Country:US
Practice Address - Phone:919-656-2901
Practice Address - Fax:188-889-3435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301630KMedicaid
NC8301630Medicaid