Excella Health Centre LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EXCELLA HEALTH CENTRE LLC

Practice address

4616 N 51St Ave # 218
Phoenix, AZ 85031-1716

Phone

(407) 533-0871

NPI assigned

Jul 27, 2023

Organization subpart

No

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

Authorized official

Name

Winnie N Kamariza

Title

Ceo

Phone

(407) 533-0871

Specialties & licenses 1

Addresses

Tax ID family

Excella Health Centre LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Excella Health Centre LLC

  • Community/Behavioral Health Agency
  • Avondale, AZ
  • NPI 1013715002
  NPD tax ID
• Excella Health Centre LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1205518552
  NPD tax ID

Locations

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1841971397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5518 W CARSON RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392270",
            "telephone_number": "407-533-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 N 51ST AVE # 218",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311716",
            "telephone_number": "407-533-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLA HEALTH CENTRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "KAMARIZA",
        "authorized_official_first_name": "WINNIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-533-0871"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.