Provider Demographics
NPI:1407022379
Name:EXCEL TUTORING & PERSONAL DEVELOPMENT
Entity Type:Organization
Organization Name:EXCEL TUTORING & PERSONAL DEVELOPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:TILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:704-510-1535
Mailing Address - Street 1:8520 CLIFF CAMERON DR
Mailing Address - Street 2:SUITE 460
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-0012
Mailing Address - Country:US
Mailing Address - Phone:704-510-1535
Mailing Address - Fax:
Practice Address - Street 1:5416 RAEFORD RD
Practice Address - Street 2:SUITE B
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3048
Practice Address - Country:US
Practice Address - Phone:919-776-1213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty