Provider Demographics
NPI:1427616341
Name:GOING BEYOND COUNSELING SERVICES
Entity type:Organization
Organization Name:GOING BEYOND COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:708-772-1117
Mailing Address - Street 1:3339 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-3817
Mailing Address - Country:US
Mailing Address - Phone:708-772-1117
Mailing Address - Fax:888-223-5281
Practice Address - Street 1:3339 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-3817
Practice Address - Country:US
Practice Address - Phone:708-772-1117
Practice Address - Fax:888-223-5281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL205396874OtherCOMMERCIAL INSURANCE