| Excellence Behavioral Health, Llc | |
|
3213 Interstate 30 Ste 206 Mesquite TX 75150-2603 | |
| (318) 230-1067 | |
| Not Available |
| Full Name | Excellence Behavioral Health, Llc |
|---|---|
| Speciality | Case Management |
| Location | 3213 Interstate 30 Ste 206, Mesquite, Texas |
| Authorized Official Name and Position | Aqunina Nunsant (CFO) |
| Authorized Official Contact | 3182301067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellence Behavioral Health, Llc 3213 Interstate 30 Ste 206 Mesquite TX 75150-2603 Ph: (318) 230-1067 | Excellence Behavioral Health, Llc 3213 Interstate 30 Ste 206 Mesquite TX 75150-2603 Ph: (318) 230-1067 |
| NPI Number | 1689318461 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 05/19/2022 |
| Certification Date | 05/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689318461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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