Provider Demographics
NPI:1316769912
Name:BEYOND BARRIERS PSYCHIATRIC SERVICES PLLC
Entity type:Organization
Organization Name:BEYOND BARRIERS PSYCHIATRIC SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTIONER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:ROBIN
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:734-219-4175
Mailing Address - Street 1:6350 TRUMPETER LN
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-8743
Mailing Address - Country:US
Mailing Address - Phone:231-492-3565
Mailing Address - Fax:
Practice Address - Street 1:3000 LAWRENCE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-3422
Practice Address - Country:US
Practice Address - Phone:734-219-4175
Practice Address - Fax:341-300-1773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-26
Last Update Date:2024-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health