Healthcare Provider Details

I. General information

NPI: 1932410719
Provider Name (Legal Business Name): EXCEL RESOURCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2010
Last Update Date: 06/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15623 EDGEMERE CT
SUGAR LAND TX
77498-7175
US

IV. Provider business mailing address

22503 KATY FWY
KATY TX
77450-1512
US

V. Phone/Fax

Practice location:
  • Phone: 832-276-2001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MS. RHONDA R. HERNDON
Title or Position: EXECUTIVE DIRECTOR/ OWNER
Credential: L.P.C.
Phone: 832-276-2001