| Beyond Therapy Nd | |
|
523 Demers Ave Grand Forks ND 58201-4528 | |
| (701) 354-1387 | |
| (701) 291-1882 |
| Full Name | Beyond Therapy Nd |
|---|---|
| Speciality | Social Worker |
| Location | 523 Demers Ave, Grand Forks, North Dakota |
| Authorized Official Name and Position | Amber Buzick (OWNER) |
| Authorized Official Contact | 7013541387 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Therapy Nd 523 Demers Ave Grand Forks ND 58201-4528 Ph: (701) 354-1387 | Beyond Therapy Nd 523 Demers Ave Grand Forks ND 58201-4528 Ph: (701) 354-1387 |
| NPI Number | 1497468821 |
|---|---|
| Provider Enumeration Date | 12/30/2022 |
| Last Update Date | 11/02/2023 |
| Certification Date | 11/02/2023 |
| Medicare PECOS PAC ID | 7416305479 |
|---|---|
| Medicare Enrollment ID | O20231130003923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497468821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amber Buzick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467193987 PECOS PAC ID: 4385014224 Enrollment ID: I20230110001664 |
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