Expat Therapy LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

EXPAT THERAPY LLC

Practice address

3866 S Eastmont Ave
Bloomington, IN 47403-9269

Phone

(812) 320-6652

NPI assigned

Sep 7, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leslie K Sommer, LCSW

Title

Manager, Therapist

Phone

(812) 320-6652

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1033995709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 KEYSTONE CROSSING, SUITE 115 #752",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46240",
            "telephone_number": "812-320-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3866 S EASTMONT AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474039269",
            "telephone_number": "812-320-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPAT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "SOMMER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER, THERAPIST",
        "authorized_official_telephone_number": "812-320-6652",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laurie M Eynon
• Chinenye U Eze-Raphael, MD
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• Emelina Factora, PT

• Adult Mental Health Clinic/Center in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Adult Mental Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.