Organization Active NPI

Excel Tutoring & Personal Development

  • Counselor
  • Fayetteville, NC
National Provider Identifier
1407022379
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
EXCEL TUTORING & PERSONAL DEVELOPMENT
Practice address
5416 Raeford Rd
Suite B
Fayetteville, NC 28304-3048
Phone
(919) 776-1213
NPI assigned
May 1, 2008
Last updated
May 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Tillman, MBA
Title
President/Ceo
Phone
(704) 510-1535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

5416 Raeford Rd
Suite B
Fayetteville, NC 28304-3048

Mailing address

8520 Cliff Cameron Dr
Suite 460
Charlotte, NC 28269-0012
Phone (704) 510-1535

National Provider Directory

National Provider Directory
Tax ID family
Excel Personal Development20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

5416 Raeford Rd
Ste B
Fayetteville, NC 28304
Phone (919) 776-1213

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1407022379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 CLIFF CAMERON DR",
            "address_2": "SUITE 460",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690012",
            "telephone_number": "704-510-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 RAEFORD RD",
            "address_2": "SUITE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043048",
            "telephone_number": "919-776-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL TUTORING & PERSONAL DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "704-510-1535",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.