BEYOND THE COUCH, LLC (NPI# 1629564489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629564489 |
| Entity Type | Organization |
| Organization Name | BEYOND THE COUCH, LLC |
| Practice Address |
516 S 10th St Ste 119 Fernandina Beach FL 32034-3511 |
| Mailing Address |
Po Box 15905 Fernandina Beach FL 32035-3116 |
| Practice Telephone | 9048636746 |
| Practice Fax Number | 3474125958 |
| Mailing Telephone | 9048636746 |
| Mailing Fax Number | 3474125958 |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |
| Authorized Official Name | DR. JULIE DIANE EBERWEIN (CO-FOUNDER) |
| Authorized Official Telephone | 9048636746 |
| Authorized Official Credential | PHD., LMHC, CAP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH9903 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001116400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101204 | Beyond The Couch, LLC | Counselor | 18138 Camdenhurst Dr, Gainesville, VA 20155-6240 | 2020-07-22 |
| Street Address |
516 S 10TH ST STE 119 |
| City | FERNANDINA BEACH |
| State | FL |
| Zip Code | 32034-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059899 | Anna Fn Chu | Dietitian, Registered | Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 | 2019-02-14 |
| 1841784550 | Kelly Ann Sayers | Social Worker | 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 | 2018-06-15 |
| 1609302611 | Christian Giovanniello | Behavior Technician | 1743 Azalea Street, Fernandina Beach, FL 32034 | 2017-05-11 |
| 1770018467 | Beckerton Chiropractic Pllc | Chiropractor | 464073 East State Road 200, Yulee, FL 32034 | 2017-05-01 |
| 1114392438 | Jayde Marie Gray | Chiropractor | 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 | 2015-12-11 |
| 1760858369 | Sun Gallery Inc. | Eyewear Supplier (Equipment, not the service) | 1523 Sadler Road, Fernandina Beach, FL 32034 | 2015-08-18 |
| 1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
| 1336542075 | Sara Veronica Herreros | Physician Assistant | 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 | 2014-10-08 |
| 1366789471 | Elizabeth Ann Moore | Nurse Practitioner | 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 | 2013-01-09 |
| 1043564289 | Summer Suzanne Delille | Dental Hygienist | 95054 Oriole St., Fernandina Beach, FL 32034 | 2012-11-08 |
| Find all providers in zip 32034 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477067296 | Kimberly Kaye Taylor | Counselor | 96587 Otter Run Dr, Fernandina Beach, FL 32034-1157 | 2017-12-01 |
| 1497129639 | Therapy for Living, Inc | Counselor | 1544 Ruskin Ln, Fernandina Beach, FL 32034-1958 | 2015-11-28 |
| 1588058804 | Beth Madison Mccullen | Counselor | 2384 Sadler Rd, Fernandina Beach, FL 32034-4555 | 2015-03-25 |
| 1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
| 1558796060 | Joanna Oestmann | Counselor | 96188 Marsh Lakes Dr, Fernandina Beach, FL 32034-6877 | 2013-09-04 |
| 1912204470 | Cletus Leon Deller | Counselor | 96173 Piney Island Dr, Fernandina Beach, FL 32034-0858 | 2011-02-18 |
| 1033428461 | Melinda Baskin Sullivan | Counselor | 910 S. 8th Street, Suite 124, Fernandina Beach, FL 32034-2250 | 2010-10-04 |
| 1922253764 | Henrietta Catherine Mcgowan | Counselor | 405 Georgia Ave, Fernandina Beach, FL 32034-4843 | 2008-11-20 |
| 1588792493 | Mary Kay Young, Lmhc, Inc. | Counselor | 1417 Sadler Rd, #164, Fernandina Beach, FL 32034-4466 | 2007-03-01 |
| 1811048952 | Lisa Ann Holloway | Counselor | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2007-01-16 |
| Find all providers in FERNANDINA BEACH | ||||
| City | FERNANDINA BEACH |
| Zip Code | 32034 |
Please comment or provide details below to improve the information on BEYOND THE COUCH, 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.