Healthcare Provider Details

I. General information

NPI: 1942412556
Provider Name (Legal Business Name): QUALITYCARE INTERNET, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 11/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N BURHANS BLVD
HAGERSTOWN MD
21740-4677
US

IV. Provider business mailing address

PO BOX 2525
WALDORF MD
20604-2525
US

V. Phone/Fax

Practice location:
  • Phone: 301-643-3975
  • Fax: 443-964-4769
Mailing address:
  • Phone: 301-643-3975
  • Fax: 443-964-4769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number14013
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number14013
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14015
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number14013
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number14015
License Number StateMD
# 6
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number14015
License Number StateMD
# 7
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number14013
License Number StateMD
# 8
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number14013
License Number StateMD
# 9
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number14015
License Number StateMD
# 10
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number14015
License Number StateMD
# 11
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number14013
License Number StateMD
# 12
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number14013
License Number StateMD
# 13
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number14013
License Number StateMD
# 14
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number14013
License Number StateMD
# 15
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14013
License Number StateMD

VIII. Authorized Official

Name: MS. MILLIE P. RICHMOND
Title or Position: CEO
Credential:
Phone: 301-643-3975