BEYOND THE COUCH LLC NPI 1629564489

NPI Information

NPI: 1629564489
Provider Name: BEYOND THE COUCH, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
516 S 10TH ST STE 119
FERNANDINA BEACH, FL
ZIP 32034
Phone: (904) 863-6746
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BEYOND THE COUCH, LLC is a mental health counselor in Fernandina Beach, FL. BEYOND THE COUCH, LLC NPI is 1629564489. The provider is registered as an organization entity type.

The provider's business location address is:

516 S 10TH ST STE 119
FERNANDINA BEACH, FL
ZIP 32034-511
Phone: (904) 863-6746
Fax: (347) 412-5958

The provider's authorized official is Julie Diane Eberwein .
The authorized official title is Co-founder and has the following contact phone number (904) 863-6746.

The enumeration date for this NPI number is 7/5/2018 and was last updated on 7/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health				No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
3	101YM0800X	Counselor	Mental Health	MH9903	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001116400	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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