Healthcare Provider Details

I. General information

NPI: 1457871089
Provider Name (Legal Business Name): QUALITY CONNECTIONS COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2017
Last Update Date: 06/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 CHAMBLEE TUCKER RD BLDG 16
ATLANTA GA
30341-4148
US

IV. Provider business mailing address

2467 PEACH SHOALS CIR
DACULA GA
30019-2173
US

V. Phone/Fax

Practice location:
  • Phone: 404-692-2157
  • Fax: 770-538-1992
Mailing address:
  • Phone: 347-628-8326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: TAMEKA HARRIS-JAMES
Title or Position: OWNER
Credential: LCSW
Phone: 347-628-8326