Provider Demographics
NPI:1982992897
Name:EXCEEDING EXPECTATIONS, INC.
Entity Type:Organization
Organization Name:EXCEEDING EXPECTATIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD OF DIRECTORS
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-809-6520
Mailing Address - Street 1:807 E MAIN ST
Mailing Address - Street 2:SUITE 6-010
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-4074
Mailing Address - Country:US
Mailing Address - Phone:919-809-6520
Mailing Address - Fax:919-809-6521
Practice Address - Street 1:807 E MAIN ST
Practice Address - Street 2:SUITE 6-010
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-4074
Practice Address - Country:US
Practice Address - Phone:919-809-6520
Practice Address - Fax:919-809-6521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-12
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC372101YA0400X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty