# EXCELSIOR SERVICES AND CONSULTING, LLC

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

## Provider details

- **NPI number:** 1861902678
- **Authorized official:** MR. NEALY LOUIS JENKINS SR. (LCSW)
- **Authorized official phone:** (682) 247-7979

## Contact information

- **Practice address:** 4929 OASIS CT APT 2001, EULESS, TX 76040-8745
- **Practice address phone:** (682) 247-7979
- **Mailing address:** 4929 OASIS CT APT 2001, EULESS, TX 76040-8745
- **Mailing address phone:** (682) 247-7979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 54969 | TX | Yes |

## Other

- **Enumeration date:** 10/06/2017
- **Last updated:** 10/06/2017