| Organization Name: | EXPRESSYOURSELF COUNSELING SERVICES LLC |
| NPI Number: | 1295130037 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROLINE KNOTT (OWNER) |
| Mailing Address: | 135 E Montgomery St Villa Rica |
| State: | GA US |
| Postal Code: | 301802708 |
| Phone Number: | 4047254861 |
| Fax Number: | 7709951959 |
| NPI Enumeration Date: | 10/22/2014 |
| NPI Last Update Date: | 10/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC005439 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |