Healthcare Provider Details

I. General information

NPI: 1053244764
Provider Name (Legal Business Name): BEYOND SUCCESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 LEXINGTON AVE RM 300
NEW YORK NY
10170-0399
US

IV. Provider business mailing address

420 LEXINGTON AVE RM 300
NEW YORK NY
10170-0399
US

V. Phone/Fax

Practice location:
  • Phone: 646-567-1789
  • Fax:
Mailing address:
  • Phone: 646-567-1789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: HELEN DREW
Title or Position: PRESIDENT
Credential: MSED
Phone: 646-567-1789