Provider Demographics
NPI:1740604404
Name:KNEW EXPECTATIONS AND ASSOCIATES,INC.
Entity Type:Organization
Organization Name:KNEW EXPECTATIONS AND ASSOCIATES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:MORA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPICER
Authorized Official - Suffix:II
Authorized Official - Credentials:MSW, CADC
Authorized Official - Phone:404-720-4056
Mailing Address - Street 1:10540 S WESTERN AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60643-2536
Mailing Address - Country:US
Mailing Address - Phone:773-840-4768
Mailing Address - Fax:312-264-0372
Practice Address - Street 1:10540 S WESTERN AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60643-2536
Practice Address - Country:US
Practice Address - Phone:773-840-4768
Practice Address - Fax:312-264-0372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-14
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL30131251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health