| Excellis Consulting And Clinical Services, Llc | |
|
10632 Little Patuxent Pkwy Suite 310 Columbia MD 21044-3273 | |
| (240) 547-9462 | |
| Not Available |
| Full Name | Excellis Consulting And Clinical Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 10632 Little Patuxent Pkwy, Columbia, Maryland |
| Authorized Official Name and Position | Michael Patrick Malone (CEO) |
| Authorized Official Contact | 2405479462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellis Consulting And Clinical Services, Llc 315 Laurel Ave Laurel MD 20707-4319 Ph: (240) 547-9462 | Excellis Consulting And Clinical Services, Llc 10632 Little Patuxent Pkwy Suite 310 Columbia MD 21044-3273 Ph: (240) 547-9462 |
| NPI Number | 1184042616 |
|---|---|
| Provider Enumeration Date | 04/02/2014 |
| Last Update Date | 04/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184042616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LC2181 (Maryland) | Primary |
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