Healthcare Provider Details

I. General information

NPI: 1831888593
Provider Name (Legal Business Name): INFINITY QUALITY CARE SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2023
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 MAIN ST
LAUREL MD
20707-4117
US

IV. Provider business mailing address

515 MAIN ST
LAUREL MD
20707-4117
US

V. Phone/Fax

Practice location:
  • Phone: 256-457-8948
  • Fax:
Mailing address:
  • Phone: 256-457-8948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: LASHUNDRA R MESUMBE
Title or Position: CEO
Credential: LCPC
Phone: 256-457-8948