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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