Ga Excel Behavioral Health Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GA EXCEL BEHAVIORAL HEALTH SERVICES

Practice address

3013 Rainbow Dr Ste 124
Decatur, GA 30034-1644

Phone

(470) 396-1998

Fax

(470) 300-8008

NPI assigned

Aug 17, 2020

Organization subpart

No

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

Authorized official

Name

Candace Bynum, LPC

Title

Owner/Founder

Phone

(404) 903-2570

Specialties & licenses 1

Addresses

Other names 1

• GA Excel Behavioral Health Services Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candace Bynum-Omodunni

  • Mental Health Counselor
  • Augusta, GA
  • NPI 1528495330
  NPD

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1982216438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561",
            "city": "AVONDALE ESTATES",
            "state": "GA",
            "postal_code": "300020561",
            "telephone_number": "470-396-1998",
            "fax_number": "470-396-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 RAINBOW DR STE 124",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341644",
            "telephone_number": "470-396-1998",
            "fax_number": "470-300-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GA EXCEL BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "404-903-2570",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GA Excel Behavioral Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• NA-Ilah Imani Fulton, MA
• Susan McCarthy Furman, PH.D.
• Ga Department of Behavioral Health and Developmental Disabilities
• Ga Department of Human Resources
• Ga Department of Juvenile Justice
• Ga Resources: Education Advocacy Treatment for Deaf Adults Youth Inc.
• Lena V Gabinskaya, RD, LD
• Catherine Matthews Gable, PHARMD
• Tara Gaddis, LMSW
• Gadecatur SNF LLC

• Community/Behavioral Health Agency in Decatur, GA
• Providers in Decatur, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.