Expansion Guidance Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

006759 Issued in GA

Legal business name

EXPANSION GUIDANCE SERVICES

Practice address

760 Old Roswell Rd Ste 208
Roswell, GA 30076-8686

Phone

(770) 609-1973

Fax

(770) 545-8630

NPI assigned

Nov 22, 2017

Organization subpart

No

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

Authorized official

Name

Eboni R. Henry, LPC

Title

Provider/Therapist

Phone

(770) 609-1973

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511568000000",
    "number": "1871007161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 OLD ROSWELL RD STE 208",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768686",
            "telephone_number": "770-609-1973",
            "fax_number": "770-545-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 OLD ROSWELL RD STE 208",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768686",
            "telephone_number": "770-609-1973",
            "fax_number": "770-545-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPANSION GUIDANCE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-25",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "EBONI",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PROVIDER/THERAPIST",
        "authorized_official_telephone_number": "770-609-1973",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "006759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Roswell, GA
• Providers in Roswell, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2017; 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.