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EXPRESSIVE THERAPY INSTITUTE LLC
NPI 1134638992
Clinic/Center - Mental Health (Including Community Mental Health Center) in Norcross, GA

Active since September 25, 2017
6015 ATLANTIC BLVD STE A, NORCROSS, GA 30071(770) 361-4607 Get Directions Write a Review

NPPES record last updated: April 3, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2019, Mar 17, 2018 (2 updates tracked since 2018).

About Expressive Therapy Institute Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXPRESSIVE THERAPY INSTITUTE LLC (NPI 1134638992) is a healthcare organization registered as a mental health (including community mental health center) in Norcross, Georgia and active in the NPI registry since September 2017. The organization maintains 2 additional practice locations and lists Annai Lopez Tavira Cruz, Child & Family Therapist, as its authorized official.

NPPES Registry Identity

NPI1134638992
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameEXPRESSIVE THERAPY INSTITUTE LLC
Location Address6015 ATLANTIC BLVD STE ANorcross, GA 30071-1343
Mailing Address824 Whitehaven LnLawrenceville, GA 30043-6666 · (770) 361-4607
Phone(770) 361-4607
Organization SubpartNo
Authorized OfficialAnnai Lopez Tavira CruzChild & Family Therapist · (770) 361-4607
Enumeration DateSeptember 25, 2017
Last NPPES UpdateApril 3, 20192 updates tracked since enumeration
✔ NPI 1134638992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in GA · MFT001573
6015 ATLANTIC BLVD STE A, Norcross, GA 30071
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Secondary Practice Locations 2

Location 1400 Prospect Pl Ste 400Alpharetta, GA 30005-5468 · Phone (770) 361-4607 · Fax (888) 977-1929
Location 22440 Sandy Plains Rd Bldg 25Marietta, GA 30066-7232 · Phone (770) 971-9311 ext. 7 · Fax (888) 977-1929

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNAI LOPEZ TAVIRA CRUZ MFT, LMFT
Marriage & Family Therapist
6015 ATLANTIC BLVD STE A
NORCROSS, GA 30071
Gwinnett County (770) 361-4607

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Expressive Therapy Institute LLC's NPI number?

The NPI number for Expressive Therapy Institute LLC is 1134638992. It was assigned to this organization in the NPPES registry on September 25, 2017.

Where is Expressive Therapy Institute LLC located?

Expressive Therapy Institute LLC is located at 6015 Atlantic Blvd Ste A, Norcross, GA 30071. The listed phone number is (770) 361-4607.

What is Expressive Therapy Institute LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Expressive Therapy Institute LLC was last updated on April 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.