Provider Demographics
NPI:1275009540
Name:B.E.YOND EXPECTATIONS, LLC
Entity Type:Organization
Organization Name:B.E.YOND EXPECTATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BETTINA
Authorized Official - Middle Name:COLETE
Authorized Official - Last Name:BRUNO-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:954-734-4708
Mailing Address - Street 1:19920 NW 10TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-3374
Mailing Address - Country:US
Mailing Address - Phone:954-734-4708
Mailing Address - Fax:
Practice Address - Street 1:19920 NW 10TH ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-3374
Practice Address - Country:US
Practice Address - Phone:954-734-4708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)