Provider Demographics
NPI:1669016283
Name:THEXPONENTIAL LLC
Entity Type:Organization
Organization Name:THEXPONENTIAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ COACH AND CONSULTANT
Authorized Official - Prefix:MISS
Authorized Official - First Name:BIYANG
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCSW
Authorized Official - Phone:312-612-0211
Mailing Address - Street 1:PO BOX 10434
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-0353
Mailing Address - Country:US
Mailing Address - Phone:312-612-0211
Mailing Address - Fax:
Practice Address - Street 1:9 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-1603
Practice Address - Country:US
Practice Address - Phone:312-612-0211
Practice Address - Fax:855-852-5527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-06
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty