Provider Demographics
NPI:1124730445
Name:QUANTUM HEALING UNIVERSE, LLC
Entity type:Organization
Organization Name:QUANTUM HEALING UNIVERSE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CILEIMAR
Authorized Official - Middle Name:S
Authorized Official - Last Name:OLIVEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-558-1561
Mailing Address - Street 1:999 BROADWAY
Mailing Address - Street 2:SUITE 303
Mailing Address - City:SAUGUS
Mailing Address - State:MA
Mailing Address - Zip Code:01906-0000
Mailing Address - Country:US
Mailing Address - Phone:781-558-1561
Mailing Address - Fax:781-558-1561
Practice Address - Street 1:999 BROADWAY
Practice Address - Street 2:SUITE 303
Practice Address - City:SAUGUS
Practice Address - State:MA
Practice Address - Zip Code:01906-0000
Practice Address - Country:US
Practice Address - Phone:781-558-1561
Practice Address - Fax:781-558-1561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty