# BEYOND THE STARS EARLY INTERVENTION LLC

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

## Provider details

- **NPI number:** 1669005732
- **Authorized official:** MRS. WENDY S COX (OWNER)
- **Authorized official phone:** (843) 373-8140

## Contact information

- **Practice address:** 3871 DEWEY COX RD, LAKE CITY, SC 29560-7584
- **Practice address phone:** (843) 389-3228
- **Practice address fax:** (843) 389-3229
- **Mailing address:** PO BOX 455, LAKE CITY, SC 29560-0455
- **Mailing address phone:** (843) 373-8140
- **Mailing address fax:** (843) 389-3229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/18/2020
- **Last updated:** 02/18/2020