Provider Demographics
NPI:1073498168
Name:EXCELSIOR CONSULTING GROUP & SERVICES, LLC
Entity type:Organization
Organization Name:EXCELSIOR CONSULTING GROUP & SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:YOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINETTE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:561-255-9634
Mailing Address - Street 1:4300 S JOG RD UNIT 540284
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33454-5012
Mailing Address - Country:US
Mailing Address - Phone:561-255-9634
Mailing Address - Fax:
Practice Address - Street 1:8450 LINDEN WAY
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-6251
Practice Address - Country:US
Practice Address - Phone:561-255-9634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)