Provider Demographics
NPI:1093885832
Name:EXPECT SUCCESS INC
Entity Type:Organization
Organization Name:EXPECT SUCCESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:GERALD
Authorized Official - Last Name:MCGOURTY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:803-396-8945
Mailing Address - Street 1:153 ATHENA PL
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-7797
Mailing Address - Country:US
Mailing Address - Phone:803-396-8945
Mailing Address - Fax:803-396-8945
Practice Address - Street 1:6025 BLAKENEY PARK DR
Practice Address - Street 2:SUITE 120
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-5703
Practice Address - Country:US
Practice Address - Phone:704-831-6841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3436101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty