MEDICARE: QUENISHA MAYS LMSW-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1316718315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUENISHA MAYS LMSW-C

Provider Business Mailing Address
First Line	:	8543 WINSTON LN
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-1397
Country	:	US
Telephone Number	:	248-275-4222
Fax Number	:

Provider Business Practice Location Address
First Line	:	8543 WINSTON LN
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-1397
Country	:	US
Telephone Number	:	248-275-4222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2024
Last Update Date	:	01/10/2024

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Directions to “ QUENISHA MAYS LMSW-C” Practice Location

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