Provider Demographics
NPI:1467329276
Name:EXCEL MIND & BODY HEALTHCARE LLC
Entity type:Organization
Organization Name:EXCEL MIND & BODY HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APN CLINICIAN, OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:CECELIA
Authorized Official - Last Name:GANTIER
Authorized Official - Suffix:
Authorized Official - Credentials:NP/ APN-BC
Authorized Official - Phone:347-204-6090
Mailing Address - Street 1:115 US 46, BLDG. F, STE. 1
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07046
Mailing Address - Country:US
Mailing Address - Phone:347-204-6090
Mailing Address - Fax:844-718-0075
Practice Address - Street 1:115 US HIGHWAY 46 STE 1
Practice Address - Street 2:
Practice Address - City:MOUNTAIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07046-1668
Practice Address - Country:US
Practice Address - Phone:347-766-0032
Practice Address - Fax:844-718-0075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-17
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center