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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