Healthcare Provider Details

I. General information

NPI: 1861219511
Provider Name (Legal Business Name): Q'S CORNER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2024
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N MAIN ST
HIGH POINT NC
27262-2100
US

IV. Provider business mailing address

1800 N MAIN ST
HIGH POINT NC
27262-2100
US

V. Phone/Fax

Practice location:
  • Phone: 336-905-8889
  • Fax:
Mailing address:
  • Phone: 336-905-8889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CANDACE HAYES
Title or Position: OWNER
Credential:
Phone: 336-471-0328