Healthcare Provider Details

I. General information

NPI: 1982992897
Provider Name (Legal Business Name): EXCEEDING EXPECTATIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2011
Last Update Date: 09/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 E MAIN ST SUITE 6-010
DURHAM NC
27701-4074
US

IV. Provider business mailing address

807 E MAIN ST SUITE 6-010
DURHAM NC
27701-4074
US

V. Phone/Fax

Practice location:
  • Phone: 919-809-6520
  • Fax: 919-809-6521
Mailing address:
  • Phone: 919-809-6520
  • Fax: 919-809-6521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number372
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RENEE BAKER
Title or Position: BOARD OF DIRECTORS
Credential:
Phone: 919-809-6520