Healthcare Provider Details

I. General information

NPI: 1295656825
Provider Name (Legal Business Name): EXPANSE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2807 N COURSE DR APT 104
POMPANO BEACH FL
33069-3024
US

IV. Provider business mailing address

2807 SW BEAUMONT AVE
PALM CITY FL
34990-5466
US

V. Phone/Fax

Practice location:
  • Phone: 786-682-3570
  • Fax:
Mailing address:
  • Phone: 786-682-0923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CHELSEA HEARD
Title or Position: OWNER
Credential: LCSW
Phone: 786-682-0923