Healthcare Provider Details

I. General information

NPI: 1306214580
Provider Name (Legal Business Name): QUALITY COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2015
Last Update Date: 09/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6120 BRANDON AVE SUITE 116
SPRINGFIELD VA
22150-2522
US

IV. Provider business mailing address

6144 CILANTRO DR
ALEXANDRIA VA
22310-2655
US

V. Phone/Fax

Practice location:
  • Phone: 571-484-7295
  • Fax: 206-338-3410
Mailing address:
  • Phone: 571-484-7295
  • Fax: 206-338-3410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. KAY DREYER WATKINS
Title or Position: CEO
Credential: L.M.F.T.
Phone: 571-484-7295