Active NPI
Excel Counseling & Behavioral Health Services, LLC
- Counselor
- Lithonia, GA
National Provider Identifier
1366394959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- EXCEL COUNSELING & BEHAVIORAL HEALTH SERVICES, LLC
- Practice address
- 5722 Greenridge CT
Lithonia, GA 30058-2202 - Phone
- (404) 597-2390
- Fax
- (404) 597-2390
- NPI assigned
- Feb 13, 2026
- Last updated
- Feb 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gwendolyn Renee Williams, SHUMATE-WILLIAMS
- Title
- Member
- Phone
- (404) 597-2390
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Counselor | 101Y00000X | Primary | ||
| Mental Health Counselor | 101YM0800X | |||
| Respite Care | 385H00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
5722 Greenridge CT
Lithonia, GA 30058-2202
Mailing address
5722 Greenridge CT
Lithonia, GA 30058-2202
Phone (404) 597-2390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003767401 | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770940800000",
"number": "1366394959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5722 GREENRIDGE CT",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300582202",
"telephone_number": "404-597-2390",
"fax_number": "404-597-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5722 GREENRIDGE CT",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300582202",
"telephone_number": "404-597-2390",
"fax_number": "404-597-2390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEL COUNSELING & BEHAVIORAL HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-13",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "GWENDOLYN",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "404-597-2390",
"authorized_official_credential": "SHUMATE-WILLIAMS"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003767401",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lithonia, GA
- Daniela Jasmine Etienne-Klass
- Euphoria Home Care and Wellness LLC
- Chineta Rena Eure-Miller, MD, MPH
- Evans Home Care Services LLC
- Evans Mill Family Practice
- Exceptional Case Management, LLC
- Exceptionally Yours Autism and Educational Services LLC
- Eunice Amaka Ezechukwu, PHARMD
- Fagan Transportation LLC
- Modupeola Ololade Fakunle, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.