MEDICARE: GREAT EXPECTATIONS THERAPEUTIC SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1477409142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREAT EXPECTATIONS THERAPEUTIC SERVICES PLLC

Provider Business Mailing Address
First Line	:	2335 BINLEY DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-5530
Country	:	US
Telephone Number	:	832-399-6141
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 S DAIRY ASHFORD RD # 295
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-3854
Country	:	US
Telephone Number	:	832-399-6141
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TONYA DENEAN HAYNES
Credential	:	LPC-ASSOCIATE
Telephone Number	:	832-399-6141

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	05/14/2026

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