Provider Demographics
NPI:1659164937
Name:EXCELLENT THERAPY LLC
Entity type:Organization
Organization Name:EXCELLENT THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MADISON
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CPC
Authorized Official - Phone:702-723-0793
Mailing Address - Street 1:721 DEPOT DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-1615
Mailing Address - Country:US
Mailing Address - Phone:702-723-0793
Mailing Address - Fax:
Practice Address - Street 1:721 DEPOT DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-1615
Practice Address - Country:US
Practice Address - Phone:702-723-0793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty