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1962076364 NPI number — BEYOND NAE-TIVE COUNSELING, LLC

NPI Number: 1962076364
Health Care Provider/Practitioner: BEYOND NAE-TIVE COUNSELING, LLC

Information about “1962076364” NPI (BEYOND NAE-TIVE COUNSELING, LLC) exists in 1962076364 in HTML format HTML  |  1962076364 in plain Text format TXT  |  1962076364 in PDF (Portable Document Format) PDF  |  1962076364 in an XML format XML  formats.

NPI Number : 1962076364 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962076364",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BEYOND NAE-TIVE COUNSELING, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1202 NE MCCLAIN RD BLDG 7",
    "SecondLineMailingAddress": "SUITE 158",
    "MailingAddressCityName": "BENTONVILLE",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72712-3875",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "479-308-8457",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2713 SE I ST STE 7",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BENTONVILLE",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72712-0078",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "479-966-1776",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/19/2021",
    "LastUpdateDate": "01/05/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HEINTZ",
    "AuthorizedOfficialFirstName": "LINNEA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PHD, LPC, CRC, DT",
    "AuthorizedOfficialTelephoneNumber": "479-308-8457",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0850X",
        "TaxonomyName": "Adult Mental Health Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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