Provider Demographics
NPI:1154036481
Name:BELSIDA K QUINN LICENSED PROFESSIONAL COUNSELOR PLLC
Entity type:Organization
Organization Name:BELSIDA K QUINN LICENSED PROFESSIONAL COUNSELOR PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BELSIDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-200-2685
Mailing Address - Street 1:16044 FITCHBURG CIR
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-2461
Mailing Address - Country:US
Mailing Address - Phone:832-515-4428
Mailing Address - Fax:512-572-8620
Practice Address - Street 1:1101 SATELLITE VW UNIT 501
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-1591
Practice Address - Country:US
Practice Address - Phone:512-200-2685
Practice Address - Fax:512-572-8620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty