Organization
BEYOND VISION MENTAL HEALTH INC
Active
Organization
BEYOND VISION MENTAL HEALTH INC
Active
Other names
Beyond Vision Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. D. MARK FASSETT II (COO)
(917) 822-9002
Entity
Organization
Contact information
Practice address
140 LONG RD STE 123, CHESTERFIELD, MO 63005-1282
(818) 308-4388
(855) 954-4533
Mailing address
331 N NEW BALLAS RD, SAINT LOUIS, MO 63141-5502
(818) 308-4388
(855) 954-4533
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/05/2020
Last updated
08/24/2021
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