Healthcare Provider Details
I. General information
NPI: 1306776562
Provider Name (Legal Business Name): BEYOND THE BARRACKS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
325 CLOVIS AVE STE 106
CLOVIS CA
93612-1151
US
IV. Provider business mailing address
325 CLOVIS AVE STE 106
CLOVIS CA
93612-1151
US
V. Phone/Fax
- Phone: 559-420-8152
- Fax:
- Phone: 559-420-8152
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRANDI
ASACKER
Title or Position: FOUNDER/CEO
Credential:
Phone: 559-420-8152