Organization
BEYOND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANDERSON (PRESIDENT)
(833) 759-8720
Entity
Organization
Contact information
Practice address
7384 N 60TH ST, MILWAUKEE, WI 53223-4602
(833) 759-8720
(833) 428-7413
Mailing address
PO BOX 30085, LAS VEGAS, NV 89173-0085
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
04/01/2024
Last updated
01/27/2025
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