Provider Demographics
| NPI: | 1487281440 |
|---|---|
| Name: | EXCEL SOCIAL SERVICES INC |
| Entity type: | Organization |
| Organization Name: | EXCEL SOCIAL SERVICES INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | LADY ESTHER |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | AGYEPONG |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LCSW |
| Authorized Official - Phone: | 480-310-6464 |
| Mailing Address - Street 1: | 625 N HAMILTON ST UNIT 53 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | CHANDLER |
| Mailing Address - State: | AZ |
| Mailing Address - Zip Code: | 85225-3996 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 480-310-6464 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 625 N HAMILTON ST UNIT 53 |
| Practice Address - Street 2: | |
| Practice Address - City: | CHANDLER |
| Practice Address - State: | AZ |
| Practice Address - Zip Code: | 85225-3996 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 480-310-6464 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2020-03-26 |
| Last Update Date: | 2020-03-26 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
| No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
| No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | Group - Multi-Specialty | |
| No | 251S00000X | Agencies | Community/Behavioral Health | ||
| No | 253Z00000X | Agencies | In Home Supportive Care | ||
| No | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities | |
| No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | |
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | |
| No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health | |
| No | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | ||
| No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
| No | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | ||
| No | 347D00000X | Transportation Services | Train | ||
| No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child |
