Organization Name: | BEYOND HEALING |
NPI Number: | 1285036343 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACEY KIM SNOW (OWNER, COUNSELOR) |
Mailing Address: | 13728 W Carefree Dr Homer Glen |
State: | IL US |
Postal Code: | 604918655 |
Phone Number: | 7088373722 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2014 |
NPI Last Update Date: | 09/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 180-006920 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |