Healthcare Provider Details

I. General information

NPI: 1639853476
Provider Name (Legal Business Name): BEYOND YOUR BELIEFS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 06/12/2023
Certification Date: 06/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3851 LONG BEACH BLVD
LONG BEACH CA
90807-3311
US

IV. Provider business mailing address

3851 LONG BEACH BLVD
LONG BEACH CA
90807-3311
US

V. Phone/Fax

Practice location:
  • Phone: 323-253-7520
  • Fax: 323-784-2800
Mailing address:
  • Phone: 323-253-7520
  • Fax: 323-784-2800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. CRYSSOL MARQUEZ
Title or Position: PRESIDENT
Credential: LMFT
Phone: 323-253-7520