Organization
EXCEL MENTAL HEALTH SERVICES, LLC
Active
Other names
Excel MHS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY HUGH GARDENHIRE MS, LPC (CEO)
(580) 399-3071
Entity
Organization
Contact information
Practice address
513 S WILLOW ST, PAULS VALLEY, OK 73075-3849
(405) 926-2085
(405) 926-2089
Mailing address
PO BOX 826, PAULS VALLEY, OK 73075-0826
(405) 926-2085
(405) 926-2089
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5643
OK
106H00000X
Marriage & Family Therapist
1147
OK
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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