Provider Demographics
NPI:1043897309
Name:QUALITY CARE SUPPORT & COUNSELING LLC
Entity type:Organization
Organization Name:QUALITY CARE SUPPORT & COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:GANT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:901-443-5311
Mailing Address - Street 1:3189 KIRBY WHITTEN RD STE 203A
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-2854
Mailing Address - Country:US
Mailing Address - Phone:901-443-5311
Mailing Address - Fax:
Practice Address - Street 1:3189 KIRBY WHITTEN RD STE 203A
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-2854
Practice Address - Country:US
Practice Address - Phone:901-443-5311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty