| Expansion Counseling Services, Llc | |
|
500 Sun Valley Drive D2 Roswell GA 30076 | |
| (770) 910-9162 | |
| (770) 910-9768 |
| Full Name | Expansion Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 500 Sun Valley Drive D2, Roswell, Georgia |
| Authorized Official Name and Position | Eboni R Mormant (DIRECTOR) |
| Authorized Official Contact | 7709109162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Expansion Counseling Services, Llc 500 Sun Valley Drive D2 Roswell GA 30076 Ph: (770) 910-9162 | Expansion Counseling Services, Llc 500 Sun Valley Drive D2 Roswell GA 30076 Ph: (770) 910-9162 |
| NPI Number | 1720539562 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 07/05/2023 |
| Certification Date | 04/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720539562 | NPI | - | NPPES |
| 1720539562 | Other | GA | GROUP NPI |
| 003275832A | Medicaid | GA |
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