| Excel Community Behavioral Health Services, Llc | |
|
9780 N 56th St Ste B Temple Terrace FL 33617-5508 | |
| (813) 422-5502 | |
| (813) 364-6474 |
| Full Name | Excel Community Behavioral Health Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9780 N 56th St Ste B, Temple Terrace, Florida |
| Authorized Official Name and Position | Kimerlyn Johnson (OPERATIONS ADMINSTRATOR) |
| Authorized Official Contact | 8134225502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excel Community Behavioral Health Services, Llc 5450 Bruce B Downs Blvd Ste 328 Wesley Chapel FL 33544-8616 Ph: (813) 422-5502 | Excel Community Behavioral Health Services, Llc 9780 N 56th St Ste B Temple Terrace FL 33617-5508 Ph: (813) 422-5502 |
| NPI Number | 1164080784 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 04/22/2020 |
| Certification Date | 04/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164080784 | NPI | - | NPPES |
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