Excelsior

LBN: Excelsior Wellness
Excelsior is an health care organization with primary practice located at 3754 W Indian Trail Rd , Spokane WA 99208-4736. The organization recently has 9 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Treatment, Children. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Excelsior Wellness can be contacted via phone (509) 328-7041, or through Hill, Andrew R via phone (509) 328-7041.

Contact Information

Primary practice address
3754 W Indian Trail Rd Spokane WA 99208-4736
Phone: (509) 328-7041
Fax: (509) 328-7582
Website:
Map and Directions
Authorized official contact:
Name: Hill, Andrew R MS, LMHC, CMHS, RRT
Phone: (509) 328-7041

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 32 0893 00 / 181 Washington
Agencies / Day Training, Developmentally Disabled Services 251C00000X 32 0893 00 / 181 Washington
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 32 0893 00 / 181 Washington
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 32 0893 00 / 181 Washington
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 32 0893 00 / 181 Washington
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 32 0893 00 / 181 Washington
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 32 0893 00 / 181 Washington
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 32 0893 00 / 181 Washington
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X 32 0893 00 / 181 Washington

Profile Details

NPI number 1326267055
LBN Legal business name Excelsior Wellness
DBA Doing business as Excelsior
Authorized official Hill, Andrew R MS, LMHC, CMHS, RRT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Sep 28th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326267055 NPPES
Washington MEDICAID 1993435
Washington MEDICAID 1007885
Washington MEDICAID 2015145
Washington MEDICAID 450639

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