BEYOND WELLNESS LLC (NPI# 1588228233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588228233 |
| Entity Type | Organization |
| Organization Name | BEYOND WELLNESS LLC |
| Practice Address |
67 S Colony Road Wallingford CT 06492-4150 |
| Mailing Address |
357 Long Hill Rd Wallingford CT 06492-4912 |
| Practice Telephone | 2036261839 |
| Mailing Telephone | 2039842264 |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | MRS. ALEXANDRA ELIZABETH GREENFIELD (OWNER) |
| Authorized Official Telephone | 2036261839 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1538634316 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265598668 | Beyond Wellness LLC | Chiropractor | 44330 Premier Plz, Suite 110, Ashburn, VA 20147-5025 | 2006-12-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Beyond Wellness LLC | 479 South Alkire St, Lakewood, CO 80228 |
| Massachusetts Corporations | BEYOND WELLNESS LLC | 11 Nod Hill Rd, Newton, MA 02461 |
| Virginia Business Entities | Beyond Wellness LLC | 44340 Premier Plaza Bldg 6 Unit 2, Ashburn, Virginia 20147 |
| Connecticut Business Registrations | BEYOND WELLNESS LLC | 357 Long Hill Road, Wallingford, CT 06492 |
| Street Address |
67 S COLONY ROAD |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-4150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790155133 | Seneka Marie Rupert | Marriage & Family Therapist | 203 Elm Rd, Wallingford, PA 19086-7032 | 2015-09-28 |
| 1083030019 | Jacqueline Mcnamee, Lmft | Marriage & Family Therapist | 40 Deer Run Rd, Wallingford, CT 06492-3306 | 2014-03-14 |
| 1548417355 | Michael Reiss | Marriage & Family Therapist | 2 Bartholomew Lane, Wallingford, CT 06492 | 2008-08-22 |
| 1962936484 | Paula Raffone, Lmft LLC | Marriage & Family Therapist | 15 S Elm St, 3rd Floor Unit 3, Wallingford, CT 06492-4741 | 2017-04-12 |
| 1356882724 | Paula Nicole Zuniga Raffone | Marriage & Family Therapist | 15 S Elm St, 3rd Floor, Unit 3, Wallingford, CT 06492-4741 | 2017-03-17 |
| 1376963942 | Jacqueline M Mcnamee, Lmft, LLC | Marriage & Family Therapist | 36 N Main St, Wallingford, CT 06492-3733 | 2014-04-22 |
| 1578811709 | Christina Koch Gamble | Marriage & Family Therapist | 28 Grove St, Wallingford, CT 06492-1607 | 2012-08-20 |
| 1568742708 | Lauren B Pisano | Marriage & Family Therapist | 300 Church St, Wallingford, CT 06492 | 2011-08-19 |
| 1912173949 | Barry Chester Gordon | Marriage & Family Therapist | 187 N Main St, Wallingford, CT 06492-3721 | 2008-04-30 |
| 1699955856 | Phyllis Lee Gordon | Marriage & Family Therapist | 187 N Main St, Wallingford, CT 06492-3721 | 2007-11-05 |
| Find all providers in WALLINGFORD | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
Please comment or provide details below to improve the information on BEYOND WELLNESS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.