MEDICARE: BEYONDX BEHAVIORAL HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103K00000X	Behavior Analyst
2	103TC2200X	Clinical Child & Adolescent Psychologist
3	104100000X	Social Worker
4	1041C0700X	Clinical Social Worker
5	171M00000X	Case Manager/Care Coordinator
6	364SP0807X	Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
7	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1427981786
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEYONDX BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	20 W WENGER RD STE 3-304
Second Line	:
City	:	ENGLEWOOD
State	:	OH
Zip	:	45322-2744
Country	:	US
Telephone Number	:	937-867-8155
Fax Number	:	855-300-5330

Provider Business Practice Location Address
First Line	:	20 W WENGER RD STE 3-304
Second Line	:
City	:	ENGLEWOOD
State	:	OH
Zip	:	45322-2744
Country	:	US
Telephone Number	:	937-867-8155
Fax Number	:	855-300-5330

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	VARONICA FREEMAN
Credential	:
Telephone Number	:	513-260-9643

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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