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Organization
BEYOND SOBER LLC
Active
Organization
BEYOND SOBER LLC
Active
Other names
Beyond Sober LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C MARTIN MA (OWNER, COUNSELOR IN RESIDENCE)
(434) 215-4430
Entity
Organization
Contact information
Practice address
117A TRADEWYND DR, LYNCHBURG, VA 24502-3112
(434) 215-4430
Mailing address
104 OVERLINK CT, LYNCHBURG, VA 24503-3200
(434) 215-4430
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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