Provider Demographics
NPI:1346629144
Name:BEYOND YOUR BEST COUNELING - BYBC
Entity type:Organization
Organization Name:BEYOND YOUR BEST COUNELING - BYBC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC
Authorized Official - Phone:936-900-8566
Mailing Address - Street 1:26009 BUDDE RD STE B200
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2064
Mailing Address - Country:US
Mailing Address - Phone:936-900-8566
Mailing Address - Fax:
Practice Address - Street 1:57 LAKE FOREST CIR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-3129
Practice Address - Country:US
Practice Address - Phone:214-709-1586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-26
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3840-3841251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health