Provider Demographics
NPI:1154995199
Name:FOCUS BEYOND THERAPY, LLC
Entity type:Organization
Organization Name:FOCUS BEYOND THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:JANELEE
Authorized Official - Last Name:O'GARA
Authorized Official - Suffix:
Authorized Official - Credentials:MS/CCC-SLP
Authorized Official - Phone:270-313-6500
Mailing Address - Street 1:956 BLACK CORAL AVE NW
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32907-9493
Mailing Address - Country:US
Mailing Address - Phone:270-313-6500
Mailing Address - Fax:321-250-7482
Practice Address - Street 1:956 BLACK CORAL AVE NW
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32907-9493
Practice Address - Country:US
Practice Address - Phone:270-313-6500
Practice Address - Fax:321-250-7482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-14
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty