MEDICARE: EXCEL COUNSELING & BEHAVIORAL HEALTH SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	251B00000X	Case Management Agency
3	253Z00000X	In Home Supportive Care Agency
4	385H00000X	Respite Care
5	101Y00000X	Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366394959
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCEL COUNSELING & BEHAVIORAL HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	5722 GREENRIDGE CT
Second Line	:
City	:	LITHONIA
State	:	GA
Zip	:	30058-2202
Country	:	US
Telephone Number	:	404-597-2390
Fax Number	:	404-597-2390

Provider Business Practice Location Address
First Line	:	5722 GREENRIDGE CT
Second Line	:
City	:	LITHONIA
State	:	GA
Zip	:	30058-2202
Country	:	US
Telephone Number	:	404-597-2390
Fax Number	:	404-597-2390

Authorized Official
Title or Position	:	MEMBER
Name	:	GWENDOLYN RENEE WILLIAMS
Credential	:	SHUMATE-WILLIAMS
Telephone Number	:	404-597-2390

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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Directions to “EXCEL COUNSELING & BEHAVIORAL HEALTH SERVICES, LLC ” Practice Location

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