Provider Demographics
NPI:1861283160
Name:BEYOND RECOVERY LLC
Entity type:Organization
Organization Name:BEYOND RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADDICTIONS COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:P
Authorized Official - Last Name:DICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA LAC CCS SAP
Authorized Official - Phone:225-281-8116
Mailing Address - Street 1:510 N RANGE AVE STE D
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-2925
Mailing Address - Country:US
Mailing Address - Phone:225-281-8116
Mailing Address - Fax:
Practice Address - Street 1:510 N RANGE AVE STE D
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-2925
Practice Address - Country:US
Practice Address - Phone:225-281-8116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty