Organization · NPI-2

Beyond Da Block Youth Peer Support LLC

Peer Specialist · Colorado Springs, CO

NPI number1699684266
StatusActive
Last updated in NPPESSep 4, 2026

Details

NPI
1699684266
Entity type
Organization (NPI-2)
Legal business name
Beyond Da Block Youth Peer Support LLC
Organization subpart
No
Enumeration date
Sep 1, 2026
Certification date
Sep 4, 2026
Last updated
Sep 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

5350 Solar Ridge Dr
Colorado Springs, CO 80917-1441

Phone 719-351-4809

Mailing address

5350 Solar Ridge Dr
Colorado Springs, CO 80917-1441

Phone 719-351-4809

Authorized official

Amanda Danelle Martinez
Founder & Executive Director
7193514809

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