Healthcare Provider Details

I. General information

NPI: 1528549748
Provider Name (Legal Business Name): BEYOND HEALING COUNSELING & CONSULTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2018
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 W DIAMOND AVE STE 310
GAITHERSBURG MD
20878-1416
US

IV. Provider business mailing address

22505 GATEWAY CENTER DR UNIT 330
CLARKSBURG MD
20871-7515
US

V. Phone/Fax

Practice location:
  • Phone: 240-626-3079
  • Fax: 855-233-1722
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC8886
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC8886
License Number StateMD

VIII. Authorized Official

Name: MRS. VEARA BUTLER
Title or Position: OWNER/ THERAPIST
Credential: MS, LCPC, NCC
Phone: 240-499-2839