Healthcare Provider Details

I. General information

NPI: 1013849819
Provider Name (Legal Business Name): BEYOND BOUNDARIES & MORE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1985 DEL AMO BLVD # P1431
TORRANCE CA
90501-1304
US

IV. Provider business mailing address

2108 N ST STE N
SACRAMENTO CA
95816-5712
US

V. Phone/Fax

Practice location:
  • Phone: 860-469-5439
  • Fax: 559-844-5555
Mailing address:
  • Phone: 860-469-5439
  • Fax: 559-844-5555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SHANEKKA NICOLE BROWN-JOHNSON
Title or Position: MENTAL HEALTH CLINICIAN
Credential: LMFT
Phone: 559-286-9964