Healthcare Provider Details

I. General information

NPI: 1952009169
Provider Name (Legal Business Name): EXCEEDING EXPECTATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2023
Last Update Date: 07/16/2023
Certification Date: 07/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NE 5TH ST STE 119
OKLAHOMA CITY OK
73104-2228
US

IV. Provider business mailing address

100 NE 5TH ST # 119
OKLAHOMA CITY OK
73104-2228
US

V. Phone/Fax

Practice location:
  • Phone: 405-803-8547
  • Fax:
Mailing address:
  • Phone: 405-803-8547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TANYA LATRICE LEE
Title or Position: OWNER/THERAPIST
Credential: LPC, CMII
Phone: 405-803-8547