=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386581932
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BEYOND THERAPY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/01/2026
-----------------------------------------------------
Last Update Date | 05/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 309 E 8TH ST
-----------------------------------------------------
City | LUSK
-----------------------------------------------------
State | WY
-----------------------------------------------------
Zip | 82225-5030
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 307-421-1628
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1001
-----------------------------------------------------
City | LUSK
-----------------------------------------------------
State | WY
-----------------------------------------------------
Zip | 82225-1001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 307-421-1628
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ THERAPIST
-----------------------------------------------------
Name | KELSIE YOUNG
-----------------------------------------------------
Credential | MS, LPC
-----------------------------------------------------
Telephone | 307-340-2240
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------