Organization
BEYOND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANDERSON (PRESIDENT)
(855) 380-6136
Entity
Organization
Contact information
Practice address
458 N GREEN BAY RD, WAUKEGAN, IL 60085-3149
(855) 380-6136
Mailing address
PO BOX 30085, LAS VEGAS, NV 89173-0085
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
05/20/2024
Last updated
08/06/2024
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