| Excel Personal Devlopment | |
|
1385 E Garrison Blvd Gastonia NC 28054-5127 | |
| (704) 854-5225 | |
| Not Available |
| Full Name | Excel Personal Devlopment |
|---|---|
| Speciality | Psychologist |
| Location | 1385 E Garrison Blvd, Gastonia, North Carolina |
| Authorized Official Name and Position | John Tillman (PRESIDENT) |
| Authorized Official Contact | 7045101535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excel Personal Devlopment 8520 Cliff Cameron Dr Suite 460 Charlotte NC 28269-0012 Ph: (704) 510-1535 | Excel Personal Devlopment 1385 E Garrison Blvd Gastonia NC 28054-5127 Ph: (704) 854-5225 |
| NPI Number | 1578683835 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578683835 | NPI | - | NPPES |
| 6005276 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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