Beyond Therapy Healing Center Licensed Clinical Social Worker Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BEYOND THERAPY HEALING CENTER LICENSED CLINICAL SOCIAL WORKER INC.

Practice address

4193 Flat Rock Dr Ste 200
Riverside, CA 92505-7113

Phone

(951) 292-4693

NPI assigned

Jun 9, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ashley WillisNPI 1629680970

Title

President

Phone

(951) 292-4693

Specialties & licenses 1

Addresses

Other names 1

• Beyond Therapy Healing Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Willis

  • Clinical Social Worker
  • Riverside, CA
  • NPI 1629680970
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1497322309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4193 FLAT ROCK DR STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925057113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4193 FLAT ROCK DR STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925057113",
            "telephone_number": "951-292-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND THERAPY HEALING CENTER LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-292-4693"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beyond Therapy Healing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beyond Therapy Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Ann Beuoy-Schwartzman, CNM
• Beverly D. Thomas-Marsh
• Beverly Orthopedic Laboratory Inc.
• Oscharea Beverly
• Andrew P Bevilacqua
• Sana Bhakhrani, O.D.
• Rutuja Dilip Bhalerao, MD
• Jas Bhangu
• Archana Bhanu, MD
• Shiv Bhanu, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Riverside, CA
• Providers in Riverside, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.