Provider Demographics
NPI:1417386335
Name:EXCELLENCE ACADEMY
Entity Type:Organization
Organization Name:EXCELLENCE ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-801-0143
Mailing Address - Street 1:811 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-6954
Mailing Address - Country:US
Mailing Address - Phone:318-801-0143
Mailing Address - Fax:
Practice Address - Street 1:811 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-6954
Practice Address - Country:US
Practice Address - Phone:318-801-0143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TAB-N-ACTION, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)