MEDICARE: BEYOND RESILIENCY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1326926759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEYOND RESILIENCY LLC

Provider Business Mailing Address
First Line	:	1003 BISHOP ST STE 1420
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-6444
Country	:	US
Telephone Number	:	808-223-6929
Fax Number	:	808-528-5438

Provider Business Practice Location Address
First Line	:	1003 BISHOP ST STE 1420
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-6444
Country	:	US
Telephone Number	:	808-223-6929
Fax Number	:	808-528-5438

Authorized Official
Title or Position	:	MANAGING MEMBER/OWNER
Name	:	ANDREA BLACKSTONE
Credential	:	ESQ.
Telephone Number	:	808-223-6929

Provider Enumeration Date	:	08/25/2025
Last Update Date	:	02/04/2026

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