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Organization

BEYOND A SPECTRUM MAKING CONNECTIONS THAT MATTER

Active
Other names
Beyond A Spectrum
Organization subpart
No

Provider details

NPI number
Authorized official
TRACY N REGARD LCSW BACS (EXECUTIVE DIRECTOR)
(318) 597-5180
Entity
Organization

Contact information

Practice address
114 N MAIN ST, MARKSVILLE, LA 71351-2406
(318) 597-5180
(844) 361-9941
Mailing address
114 N MAIN ST, MARKSVILLE, LA 71351-2406
(318) 597-5180
(844) 361-9941

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TM1800X
Intellectual & Developmental Disabilities Psychologist
1041C0700X
Clinical Social Worker
Primary
111NP0017X
Pediatric Chiropractor
2084P0005X
Neurodevelopmental Disabilities Physician
224ZE0001X
Environmental Modification Occupational Therapy Assistant
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
2251P0200X
Pediatric Physical Therapist
235Z00000X
Speech-Language Pathologist
261QH0700X
Hearing and Speech Clinic/Center
363LP0200X
Pediatric Nurse Practitioner

Other

Enumeration date
09/26/2018
Last updated
09/26/2018
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