| Excell Community Network, Inc | |
|
5138 Tennessee St Gary IN 46409-2957 | |
| (219) 613-4774 | |
| Not Available |
| Full Name | Excell Community Network, Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5138 Tennessee St, Gary, Indiana |
| Authorized Official Name and Position | Erica Woodley (CEO) |
| Authorized Official Contact | 2196134774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excell Community Network, Inc Po Box 10182 Merrillville IN 46411-0182 Ph: (219) 613-4774 | Excell Community Network, Inc 5138 Tennessee St Gary IN 46409-2957 Ph: (219) 613-4774 |
| NPI Number | 1184550329 |
|---|---|
| Provider Enumeration Date | 06/23/2026 |
| Last Update Date | 06/23/2026 |
| Certification Date | 06/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184550329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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