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Organization
BEYOND EXPECTATIONS, LLC
Active
Organization
BEYOND EXPECTATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER WADE SMITH (OWNER)
12085400638
Entity
Organization
Contact information
Practice address
5615 S HAWK RIDGE AVE, CALDWELL, ID 83607-5530
(208) 540-0638
Mailing address
5615 S HAWK RIDGE AVE, CALDWELL, ID 83607-5530
(208) 540-0638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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