MEDICARE: QUANTUM CONSULTING GROUP LLC

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	180009950	IL
2	101YP2500X	Professional Counselor	180009950	IL

General Provider Information

NPI Number	:	1992242507
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUANTUM CONSULTING GROUP LLC

Provider Business Mailing Address
First Line	:	3050 POST OAK BLVD STE 510
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-6512
Country	:	US
Telephone Number	:	888-441-3959
Fax Number	:

Provider Business Practice Location Address
First Line	:	911 WASHINGTON AVE STE 501
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63101-1272
Country	:	US
Telephone Number	:	888-441-3959
Fax Number	:

Authorized Official
Title or Position	:	CO-FOUNDER
Name	:	DR. CALVIN E. SPINKS
Credential	:	ED.D.
Telephone Number	:	888-441-3959

Provider Enumeration Date	:	01/21/2017
Last Update Date	:	03/25/2024

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