Provider Demographics
NPI:1053121731
Name:BEYOND WORDS GRIEF LOSS AND TRAUMA THERAPY
Entity type:Organization
Organization Name:BEYOND WORDS GRIEF LOSS AND TRAUMA THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:218-226-8673
Mailing Address - Street 1:3820 LONDON RD APT 112
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55804-2232
Mailing Address - Country:US
Mailing Address - Phone:218-226-8673
Mailing Address - Fax:
Practice Address - Street 1:3820 LONDON RD APT 112
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55804-2232
Practice Address - Country:US
Practice Address - Phone:218-226-8673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty