Organization
EXCEL PSYCHIATRIC ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY CHRISTINE CHEPKE LCSW (CO-OWNER)
(704) 457-9292
Entity
Organization
Contact information
Practice address
10225 HICKORYWOOD HILL AVE, SUITE B, HUNTERSVILLE, NC 28078-3431
(704) 457-9292
(704) 274-5783
Mailing address
10225 HICKORYWOOD HILL AVE, SUITE B, HUNTERSVILLE, NC 28078-3431
(704) 457-9292
(704) 274-5783
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C007832
NC
2084P0800X
Psychiatry Physician
Primary
2009-00088
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5912334
—
NC
Enumeration date
01/08/2013
Last updated
05/11/2017
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