MEDICARE: BEYOND YOUR LIMITS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility
3	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1912494063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEYOND YOUR LIMITS

Provider Business Mailing Address
First Line	:	5210 SPRING PINE CT
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77345-2042
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9164 WILL CLAYTON PKWY
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-5815
Country	:	US
Telephone Number	:	832-244-6649
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LUIS J GUERRERO
Credential	:	CASE MANAGER
Telephone Number	:	832-244-6649

Provider Enumeration Date	:	04/15/2018
Last Update Date	:	04/15/2018

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Directions to “BEYOND YOUR LIMITS ” Practice Location

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