Healthcare Provider Details

I. General information

NPI: 1265346704
Provider Name (Legal Business Name): EXPONENTIAL GROWTH AND THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8735 DUNWOODY PL STE 11911
ATLANTA GA
30350
US

IV. Provider business mailing address

246 ROBERT C DANIEL JR PKWY # 1105
AUGUSTA GA
30909-0803
US

V. Phone/Fax

Practice location:
  • Phone: 706-709-1807
  • Fax:
Mailing address:
  • Phone: 706-709-1807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: CYNTHIA FRAZIER
Title or Position: OWNER
Credential: LPC
Phone: 706-709-1807