Healthcare Provider Details

I. General information

NPI: 1386581932
Provider Name (Legal Business Name): BEYOND THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 E 8TH ST
LUSK WY
82225-5030
US

IV. Provider business mailing address

PO BOX 1001
LUSK WY
82225-1001
US

V. Phone/Fax

Practice location:
  • Phone: 307-421-1628
  • Fax:
Mailing address:
  • Phone: 307-421-1628
  • Fax:

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: KELSIE YOUNG
Title or Position: OWNER/ THERAPIST
Credential: MS, LPC
Phone: 307-340-2240