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NPI Code Detail

MEDICARE: QUALITY CONNECTIONS COUNSELING AND CONSULTING

MEDICARE: QUALITY CONNECTIONS COUNSELING AND CONSULTING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center
2261QM0855XAdolescent and Children Mental Health Clinic/Center
31041C0700XClinical Social Worker

General Provider Information

NPI Number : 1457871089
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUALITY CONNECTIONS COUNSELING AND CONSULTING
Provider Business Mailing Address
First Line : 2467 PEACH SHOALS CIR
Second Line :
City : DACULA
State : GA
Zip : 30019-2173
Country : US
Telephone Number : 347-628-8326
Fax Number :
Provider Business Practice Location Address
First Line : 2900 CHAMBLEE TUCKER RD BLDG 16
Second Line :
City : ATLANTA
State : GA
Zip : 30341-4148
Country : US
Telephone Number : 404-692-2157
Fax Number : 770-538-1992
Authorized Official
Title or Position : OWNER
Name : TAMEKA HARRIS-JAMES
Credential : LCSW
Telephone Number : 347-628-8326
Provider Enumeration Date : 06/25/2017
Last Update Date : 06/25/2017

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Directions to “QUALITY CONNECTIONS COUNSELING AND CONSULTING ” Practice Location

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