Provider Demographics
NPI:1922999630
Name:XPONENTIAL GROWTH ACADEMY LLC
Entity type:Organization
Organization Name:XPONENTIAL GROWTH ACADEMY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCMHC
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEBLANC-WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:704-779-4390
Mailing Address - Street 1:3792 MORGAN LN
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-3622
Mailing Address - Country:US
Mailing Address - Phone:910-214-7454
Mailing Address - Fax:
Practice Address - Street 1:3792 MORGAN LN
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-3622
Practice Address - Country:US
Practice Address - Phone:910-214-7454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty