Provider Demographics
NPI:1336847789
Name:EXCEL PEER SUPPORT SERVICES, LLC
Entity Type:Organization
Organization Name:EXCEL PEER SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRIE
Authorized Official - Middle Name:LNN
Authorized Official - Last Name:RHINEHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-737-8217
Mailing Address - Street 1:520 PEMBROKE LN
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-6532
Mailing Address - Country:US
Mailing Address - Phone:704-737-8217
Mailing Address - Fax:704-246-6760
Practice Address - Street 1:520 PEMBROKE LN
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-6532
Practice Address - Country:US
Practice Address - Phone:704-737-8217
Practice Address - Fax:704-246-6760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty