| Beyond Behavioral Health Llc | |
|
104 S Freya St Ste Green210 Spokane WA 99202-4862 | |
| (509) 368-9863 | |
| Not Available |
| Full Name | Beyond Behavioral Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 104 S Freya St Ste Green210, Spokane, Washington |
| Authorized Official Name and Position | Angela Marie Mello (CEO) |
| Authorized Official Contact | 5098699457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Behavioral Health Llc 104 S Freya St Ste Green210 Spokane WA 99202-4862 Ph: (509) 368-9863 | Beyond Behavioral Health Llc 104 S Freya St Ste Green210 Spokane WA 99202-4862 Ph: (509) 368-9863 |
| NPI Number | 1033728415 |
|---|---|
| Provider Enumeration Date | 07/30/2020 |
| Last Update Date | 09/08/2025 |
| Certification Date | 09/08/2025 |
| Medicare PECOS PAC ID | 3274951579 |
|---|---|
| Medicare Enrollment ID | O20200918001273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033728415 | NPI | - | NPPES |
| Provider Name | Jason Edward Vestal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851899215 PECOS PAC ID: 8820359235 Enrollment ID: I20180228000183 |
| Provider Name | Angela Marie Mello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609171446 PECOS PAC ID: 4183042484 Enrollment ID: I20200921000827 |
| Provider Name | Raymond G Fredrickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902495351 PECOS PAC ID: 4284001702 Enrollment ID: I20221111001900 |
| Provider Name | Maggie J Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174175384 PECOS PAC ID: 3274060207 Enrollment ID: I20250102001850 |
| Provider Name | Melissa Hurt-moran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164889663 PECOS PAC ID: 2264707736 Enrollment ID: I20250108003607 |
| Provider Name | Kimberly Westphall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588105514 PECOS PAC ID: 1355870676 Enrollment ID: I20250130002581 |
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