Provider Demographics
NPI:1891259727
Name:EXPANSIVE MENTAL HEALTH COUNSELING PLLC
Entity type:Organization
Organization Name:EXPANSIVE MENTAL HEALTH COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:212-655-9817
Mailing Address - Street 1:225 BROADWAY STE 840
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-3705
Mailing Address - Country:US
Mailing Address - Phone:122-655-9817
Mailing Address - Fax:
Practice Address - Street 1:225 BROADWAY STE 840
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-3705
Practice Address - Country:US
Practice Address - Phone:805-705-9576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-24
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty