| Beyond Sober Llc | |
|
117a Tradewynd Dr Lynchburg VA 24502-3112 | |
| (434) 215-4430 | |
| Not Available |
| Full Name | Beyond Sober Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 117a Tradewynd Dr, Lynchburg, Virginia |
| Authorized Official Name and Position | David C Martin (OWNER, COUNSELOR IN RESIDENCE) |
| Authorized Official Contact | 4342154430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Sober Llc 104 Overlink Ct Lynchburg VA 24503-3200 Ph: (434) 215-4430 | Beyond Sober Llc 117a Tradewynd Dr Lynchburg VA 24502-3112 Ph: (434) 215-4430 |
| NPI Number | 1659878908 |
|---|---|
| Provider Enumeration Date | 04/11/2018 |
| Last Update Date | 04/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659878908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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