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Contact Information

EXCELSIS BEHAVIORAL HEALTH, INC.
4144 N ARMENIA AVE
SUITE 350
TAMPA, FL33607-6400
 Phone: 855-743-4273
 Fax: 855-743-4273
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for EXCELSIS BEHAVIORAL HEALTH, INC.

NPI Number 1063897262
LBN Legal business name EXCELSIS BEHAVIORAL HEALTH, INC.
Authorized official THOMAS ECONOMOS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2015
Last updated 07/29/2015 - About 11 years ago
Identifiers
FL Other P1400008092 BEHAVIORAL HEATH CARE COMPANY
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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