Provider Demographics
NPI:1386298354
Name:QUALITY CARE COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:QUALITY CARE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LAKISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOONE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-229-4626
Mailing Address - Street 1:18511 ROLLINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23834-1699
Mailing Address - Country:US
Mailing Address - Phone:804-229-4626
Mailing Address - Fax:804-800-4107
Practice Address - Street 1:18511 ROLLINGSIDE DR
Practice Address - Street 2:
Practice Address - City:SOUTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23834-1699
Practice Address - Country:US
Practice Address - Phone:804-229-4626
Practice Address - Fax:804-800-4107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-29
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness