Provider Demographics
NPI:1083431662
Name:BEYOND HEALTHCARE
Entity type:Organization
Organization Name:BEYOND HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:SCHENAE
Authorized Official - Last Name:LOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:443-416-5667
Mailing Address - Street 1:1120 N CHARLES ST STE 408
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-5594
Mailing Address - Country:US
Mailing Address - Phone:443-416-5667
Mailing Address - Fax:443-687-8720
Practice Address - Street 1:1120 N CHARLES ST STE 408
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-5594
Practice Address - Country:US
Practice Address - Phone:443-416-5667
Practice Address - Fax:443-687-8720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities