EXCEL PERSONAL DEVELOPMENT
NPI 1760501597
Community/Behavioral Health in Fayetteville, NC

Active since March 29, 2007
5416 RAEFORD RD STE A, FAYETTEVILLE, NC 28304(910) 223-7775(910) 223-7733 Get Directions Write a Review

NPPES record last updated: December 29, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About EXCEL PERSONAL DEVELOPMENT

This page provides the complete NPI Profile along with additional information for Excel Personal Development, a provider established in Fayetteville, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1760501597 assigned on March 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Excel Personal Development. The authorized official of this NPI record is Mr. John Tillman (President)

NPI
1760501597 Verify this NPI
Provider Legal Name
EXCEL TUTORING AND PERSONAL DEVELOPMENT
Other Organization Name
EXCEL PERSONAL DEVELOPMENT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5416 RAEFORD RD STE A FAYETTEVILLE, NC 28304
Location Phone
(910) 223-7775
Location Fax
(910) 223-7733
Mailing Address
1502 N CHARLOTTE AVE MONROE, NC 28110
Mailing Phone
(704) 635-7766
Mailing Fax
(704) 635-7779
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-29-2007
Last Update Date
12-29-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251B00000XAgencies

Case Management

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JOHN TILLMAN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(704) 635-7766

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8300847MEDICAID (05)NC 

Reviews for EXCEL PERSONAL DEVELOPMENT

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Social Worker (Clinical)
5416 RAEFORD RD STE A
FAYETTEVILLE, NC 28304
Community/Behavioral Health
5416 RAEFORD RD STE A
FAYETTEVILLE, NC 28304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760501597, enumerated as an "organization" on March 29, 2007.

The provider is located at 5416 RAEFORD RD STE A FAYETTEVILLE, NC 28304 and the phone number is (910) 223-7775.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.