MEDICARE: QUEST COUNSELING SERVICES 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	171M00000X	Case Manager/Care Coordinator
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1912665548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUEST COUNSELING SERVICES LLC

Provider Business Mailing Address
First Line	:	2670 UNION AVENUE EXT STE 1224
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38112-4416
Country	:	US
Telephone Number	:	901-270-4084
Fax Number	:

Provider Business Practice Location Address
First Line	:	2670 UNION AVENUE EXT STE 1224
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38112-4416
Country	:	US
Telephone Number	:	901-270-4084
Fax Number	:	901-457-0280

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL WARREN
Credential	:
Telephone Number	:	901-270-4084

Provider Enumeration Date	:	12/01/2021
Last Update Date	:	12/01/2021

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Directions to “QUEST COUNSELING SERVICES LLC ” Practice Location

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