Provider Demographics
NPI:1881354959
Name:BEYOND WORDS HEALING SERVICES LLC
Entity type:Organization
Organization Name:BEYOND WORDS HEALING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIVATE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAM TU
Authorized Official - Middle Name:THI
Authorized Official - Last Name:NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWR
Authorized Official - Phone:315-720-3161
Mailing Address - Street 1:170 W 1ST ST S
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:NY
Mailing Address - Zip Code:13069-2231
Mailing Address - Country:US
Mailing Address - Phone:315-720-3161
Mailing Address - Fax:
Practice Address - Street 1:170 W 1ST ST S
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:NY
Practice Address - Zip Code:13069-2231
Practice Address - Country:US
Practice Address - Phone:315-720-3161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-30
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health