Beyond the Mask Trauma and Wellness PLLC

Primary specialty

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

Legal business name

BEYOND THE MASK TRAUMA AND WELLNESS PLLC

Doing business as

Beyond the Mask

Practice address

7200 E WT Harris Blvd
Charlotte, NC 28215-7200

Phone

(443) 744-0621

NPI assigned

Jun 26, 2021

Last updated

Jun 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharhonda L Ford, LCMHCNPI 1104313345

Title

Owner

Phone

(704) 741-0919

Specialties & licenses 1

Addresses

Other names 1

• BEYOND THE MASK Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sharhonda Lynn Ford, LCMHC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1104313345
  NPD Authorized official

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

{
    "created_epoch": "1624665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1659941359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11424 SWEETBRIAR RIDGE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695046",
            "telephone_number": "704-741-0919",
            "fax_number": "980-422-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 E WT HARRIS BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157200",
            "telephone_number": "443-744-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND THE MASK TRAUMA AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-26",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "SHARHONDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-741-0919",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEYOND THE MASK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BEYOND THE MASK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rostislav Markovich Beyder, PA-C
• Liya Beyderman, MD
• Tracy Beyer, LAT, ATC
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• Bffmd PLLC
• BG Moore, DDS, PA (Willow Oak Dental)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.