MEDICARE: BEYOND THE LABEL LLC

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1891507497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEYOND THE LABEL LLC

Provider Business Mailing Address
First Line	:	PO BOX 1372
Second Line	:
City	:	COLUMBIA
State	:	KY
Zip	:	42728-6372
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 BOMAR HTS
Second Line	:
City	:	COLUMBIA
State	:	KY
Zip	:	42728-1509
Country	:	US
Telephone Number	:	833-777-2282
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LACI SALYERS
Credential	:
Telephone Number	:	606-706-2343

Provider Enumeration Date	:	01/22/2025
Last Update Date	:	01/22/2025

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Directions to “BEYOND THE LABEL LLC ” Practice Location

Language	Start Address	Practice Location

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