Organization
EXCELSIOR SERVICES AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEALY LOUIS JENKINS SR. (LCSW)
(682) 247-7979
Entity
Organization
Contact information
Practice address
4929 OASIS CT APT 2001, EULESS, TX 76040-8745
(682) 247-7979
Mailing address
4929 OASIS CT APT 2001, EULESS, TX 76040-8745
(682) 247-7979
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
54969
TX
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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