Healthcare Provider Details

I. General information

NPI: 1942127741
Provider Name (Legal Business Name): QFM ENTERPRISE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 E BOULEVARD STE 109
WILLIAMSTON NC
27892-2786
US

IV. Provider business mailing address

415 E BOULEVARD STE 109
WILLIAMSTON NC
27892-2786
US

V. Phone/Fax

Practice location:
  • Phone: 252-508-5066
  • Fax:
Mailing address:
  • Phone: 252-508-5066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: FREDERICKA DANIELLE RHODES-GODARD
Title or Position: OWNER
Credential:
Phone: 252-508-5066