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NPI Code Detail

MEDICARE: BEYOND WELLNESS PLLC

MEDICARE: BEYOND WELLNESS PLLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor
21041C0700XClinical Social Worker
3133NN1002XNutrition Education Nutritionist
4133V00000XRegistered Dietitian
5176B00000XMidwife
6251B00000XCase Management Agency
7261QM1300XMulti-Specialty Clinic/Center
8261QP2300XPrimary Care Clinic/Center
9261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1689433492
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEYOND WELLNESS PLLC
Provider Business Mailing Address
First Line : PO BOX 30085
Second Line :
City : LAS VEGAS
State : NV
Zip : 89173-0085
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8905 W POST RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-2429
Country : US
Telephone Number : 833-759-8720
Fax Number : 833-473-9742
Authorized Official
Title or Position : PRESIDENT
Name : LISA ANDERSON
Credential :
Telephone Number : 833-759-8720
Provider Enumeration Date : 03/14/2024
Last Update Date : 01/27/2025

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Directions to “BEYOND WELLNESS PLLC ” Practice Location

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