Organization
EXCELTH, INCORPORATED
Active
Other names
EXCELth Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATILDA A TENNESSEE (REVENUE CYCLE MANAGER)
(504) 524-1210
Entity
Organization
Contact information
Practice address
9900 LAKE FOREST BLVD, SUITE F, NEW ORLEANS, LA 70127-2609
(504) 524-1210
(504) 524-1491
Mailing address
1515 POYDRAS ST, SUITE 1070, NEW ORLEANS, LA 70112-3723
(504) 524-1210
(504) 524-1491
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
122300000X
Dentist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/19/2013
Last updated
01/22/2024
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