Organization Name: | BEYOND BEAUTIFUL, LLC |
NPI Number: | 1003124447 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VALERIE B MONTGOMERY (OWNER/COUNSELOR) |
Mailing Address: | 3210 E Woodmen Rd Suite 100 Colorado Springs |
State: | CO US |
Postal Code: | 809203588 |
Phone Number: | 7192987800 |
Fax Number: | 7192620521 |
NPI Enumeration Date: | 09/20/2010 |
NPI Last Update Date: | 10/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 5761 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |