Provider Demographics
NPI:1447036322
Name:QUINNTESENTIAL QUESTS LLC
Entity type:Organization
Organization Name:QUINNTESENTIAL QUESTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:VANDERPOOL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMHC, CEAP
Authorized Official - Phone:251-753-8906
Mailing Address - Street 1:PO BOX 182
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-0182
Mailing Address - Country:US
Mailing Address - Phone:251-753-8906
Mailing Address - Fax:
Practice Address - Street 1:25369 US HIGHWAY 98
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-4863
Practice Address - Country:US
Practice Address - Phone:251-753-8906
Practice Address - Fax:251-621-5361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty