Provider Demographics
NPI:1114801396
Name:BEYOND MENTAL HEALTH LLC
Entity type:Organization
Organization Name:BEYOND MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALT
Authorized Official - Middle Name:
Authorized Official - Last Name:MUTIMURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-685-3561
Mailing Address - Street 1:152 BARRINGTON ST APT 209
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-2954
Mailing Address - Country:US
Mailing Address - Phone:585-685-3561
Mailing Address - Fax:
Practice Address - Street 1:152 BARRINGTON ST APT 209
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-2954
Practice Address - Country:US
Practice Address - Phone:585-685-3561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty