Healthcare Provider Details

I. General information

NPI: 1649114257
Provider Name (Legal Business Name): EXPRESSIONS - THE MIND & BODY'S HEALING CONNECTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 N JEFFERSON ST
ALBANY GA
31701-2360
US

IV. Provider business mailing address

707 N JEFFERSON ST
ALBANY GA
31701-2360
US

V. Phone/Fax

Practice location:
  • Phone: 229-431-2030
  • Fax: 229-431-0320
Mailing address:
  • Phone: 229-431-2030
  • Fax: 229-431-0320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AUBREY SMITH SR.
Title or Position: CHAIR
Credential:
Phone: 229-431-2030