Provider Demographics
NPI:1407444128
Name:BEYOND BEHAVIORAL HEALTHCARE, LLC
Entity type:Organization
Organization Name:BEYOND BEHAVIORAL HEALTHCARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-380-1592
Mailing Address - Street 1:1080 NIMITZVIEW DR STE 400
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-4332
Mailing Address - Country:US
Mailing Address - Phone:419-707-9116
Mailing Address - Fax:
Practice Address - Street 1:3110 W CENTRAL AVE STE A
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-2956
Practice Address - Country:US
Practice Address - Phone:419-309-3991
Practice Address - Fax:419-730-5557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-07
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)