Provider Demographics
NPI:1295904829
Name:EXCEL BEHAVIORAL HEALTH, INC.
Entity type:Organization
Organization Name:EXCEL BEHAVIORAL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:QP/BSW
Authorized Official - Phone:704-575-9771
Mailing Address - Street 1:1201-4 SOUTH POST RD.
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28152-7417
Mailing Address - Country:US
Mailing Address - Phone:704-481-1129
Mailing Address - Fax:704-481-1673
Practice Address - Street 1:1204-8 SOUTH POST ROAD
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28152-7417
Practice Address - Country:US
Practice Address - Phone:704-481-1129
Practice Address - Fax:704-481-1673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-28
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health