MEDICARE: Q1CONSULTANTS,LLC

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
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598198145
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	Q1CONSULTANTS,LLC

Provider Business Mailing Address
First Line	:	1011 W WILLIAMS ST
Second Line	:	STE 102
City	:	APEX
State	:	NC
Zip	:	27502-3979
Country	:	US
Telephone Number	:	919-303-5377
Fax Number	:	919-303-5380

Provider Business Practice Location Address
First Line	:	4418 KARLBROOK LN
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-6198
Country	:	US
Telephone Number	:	919-303-5377
Fax Number	:	919-303-5380

Authorized Official
Title or Position	:	CEO
Name	:	MRS. MATISHA MAE HAMILTON
Credential	:	BA
Telephone Number	:	919-303-5377

Provider Enumeration Date	:	08/19/2013
Last Update Date	:	08/19/2013

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