Provider Demographics
NPI:1588359137
Name:A&A EXCELSIOR MANAGEMENT
Entity type:Organization
Organization Name:A&A EXCELSIOR MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:BRITTNEY
Authorized Official - Middle Name:SIMONE
Authorized Official - Last Name:ENGLISH
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:256-201-0348
Mailing Address - Street 1:4503 ROSSER LOOP DR
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-6172
Mailing Address - Country:US
Mailing Address - Phone:256-201-0348
Mailing Address - Fax:
Practice Address - Street 1:4503 ROSSER LOOP DR
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-6172
Practice Address - Country:US
Practice Address - Phone:256-201-0348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty