# EXCELLA HEALTH CENTRE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841971397
- **Authorized official:** WINNIE N KAMARIZA (CEO)
- **Authorized official phone:** (407) 533-0871

## Contact information

- **Practice address:** 4616 N 51ST AVE \# 218, PHOENIX, AZ 85031-1716
- **Practice address phone:** (407) 533-0871
- **Mailing address:** 5518 W CARSON RD, LAVEEN, AZ 85339-2270
- **Mailing address phone:** (407) 533-0871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2023
- **Last updated:** 07/27/2023