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General NPI Number Information
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NPI Number | 1366394959
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Entity Type | Organization
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Legal Business Name | EXCEL COUNSELING & BEHAVIORAL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 5722 GREENRIDGE CT
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City | LITHONIA
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State | GA
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Zip | 30058-2202
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Country | US
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Telephone | 404-597-2390
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Fax | 404-597-2390
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Provider Business Mailing Address
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Address Line | 5722 GREENRIDGE CT
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City | LITHONIA
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State | GA
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Zip | 30058-2202
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Country | US
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Telephone | 404-597-2390
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Fax | 404-597-2390
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Authorized Official
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Title or Position | MEMBER
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Name | GWENDOLYN RENEE WILLIAMS
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Credential | SHUMATE-WILLIAMS
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Telephone | 404-597-2390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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