# BEYOND BRAIN INJURY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174395453
- **Authorized official:** NICOLE LAINHART MS, CCC-SLP, CBIS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (612) 384-1007

## Contact information

- **Practice address:** 7587 KIMBERLY LN, EDEN PRAIRIE, MN 55346-4259
- **Practice address phone:** (612) 384-1007
- **Mailing address:** 7587 KIMBERLY LN, EDEN PRAIRIE, MN 55346-4259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/30/2023
- **Last updated:** 10/30/2023