Provider Demographics
NPI:1912752247
Name:BEYOND THE STARS NO LIMITS ,INC
Entity Type:Organization
Organization Name:BEYOND THE STARS NO LIMITS ,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:BREE
Authorized Official - Middle Name:L
Authorized Official - Last Name:DEDMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-387-1748
Mailing Address - Street 1:4605 BUENA VISTA RD STE 600-123
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-8791
Mailing Address - Country:US
Mailing Address - Phone:424-387-1748
Mailing Address - Fax:
Practice Address - Street 1:10701 GRAND PRAIRIE DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9143
Practice Address - Country:US
Practice Address - Phone:661-817-5099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health