MEDICARE: BEYOND THE MIND MENTAL HEALTH PLLC

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	363LA2200X	Adult Health Nurse Practitioner
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1356283683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEYOND THE MIND MENTAL HEALTH PLLC

Provider Business Mailing Address
First Line	:	8326 PINEVILLE MATTHEWS RD # 470173
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-4752
Country	:	US
Telephone Number	:	980-355-9494
Fax Number	:

Provider Business Practice Location Address
First Line	:	8326 PINEVILLE MATTHEWS RD # 470173
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-4752
Country	:	US
Telephone Number	:	980-355-9494
Fax Number	:

Authorized Official
Title or Position	:	PSYCHIATRIC NURSE PRACTITIONER
Name	:	EMILY SIMONEAU
Credential	:	PMHNP-BC, AGACNP-BC
Telephone Number	:	980-355-9494

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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