Provider Demographics
NPI:1073968921
Name:EXPECT GREAT THINGS LLC
Entity Type:Organization
Organization Name:EXPECT GREAT THINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JIVANDA
Authorized Official - Middle Name:VERMELL GREGG
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC,CPSC,CAMS II
Authorized Official - Phone:770-789-6403
Mailing Address - Street 1:3350 RIVERWOOD PKWY SE STE 1900
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3372
Mailing Address - Country:US
Mailing Address - Phone:770-789-6403
Mailing Address - Fax:770-628-0106
Practice Address - Street 1:3350 RIVERWOOD PKWY SE STE 1900
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-3372
Practice Address - Country:US
Practice Address - Phone:770-789-6403
Practice Address - Fax:770-628-0106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-28
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005239251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health