Healthcare Provider Details

I. General information

NPI: 1912665548
Provider Name (Legal Business Name): QUEST COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2021
Last Update Date: 12/01/2021
Certification Date: 12/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2670 UNION AVENUE EXT STE 1224
MEMPHIS TN
38112-4416
US

IV. Provider business mailing address

2670 UNION AVENUE EXT STE 1224
MEMPHIS TN
38112-4416
US

V. Phone/Fax

Practice location:
  • Phone: 901-270-4084
  • Fax: 901-457-0280
Mailing address:
  • Phone: 901-270-4084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL WARREN
Title or Position: OWNER
Credential:
Phone: 901-270-4084