Provider Demographics
NPI:1982044947
Name:EXCEL THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:EXCEL THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:RENA
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:PT, CEAS
Authorized Official - Phone:706-271-6282
Mailing Address - Street 1:PO BOX 871
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30705-0871
Mailing Address - Country:US
Mailing Address - Phone:706-271-6282
Mailing Address - Fax:
Practice Address - Street 1:1006 GREEN RD
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:GA
Practice Address - Zip Code:30705-2012
Practice Address - Country:US
Practice Address - Phone:706-271-6282
Practice Address - Fax:706-695-8425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-04
Last Update Date:2013-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT004205251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)