Excel Community Behavioral Health Services, LLC
Community/Behavioral Health in Temple Terrace, FL. Organization (NPI-2).
NPI number1164080784
StatusActive
Last updated in NPPESApr 22, 2020
Details
- NPI
- 1164080784
- Entity type
- Organization (NPI-2)
- Legal business name
- Excel Community Behavioral Health Services, LLC
- Organization subpart
- No
- Enumeration date
- May 29, 2019
- Certification date
- Apr 22, 2020
- Last updated
- Apr 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 103TB0200X | Psychologist, Cognitive & Behavioral | – | – |
Practice location
9780 N 56th St Ste BTemple Terrace, FL 33617-5508
Phone 813-422-5502 · Fax 813-364-6474
Mailing address
5450 Bruce B Downs Blvd Ste 328Wesley Chapel, FL 33544-8616
Phone 813-422-5502 · Fax 813-364-6474
Authorized official
Kimerlyn Johnson
Operations Adminstrator
8134225502
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All 5 Community/Behavioral Health Agency providers in Temple Terrace · All 1,270 providers in Temple Terrace
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