Provider Demographics
NPI:1447843362
Name:CRQ CONSULTING SERVICES LLC
Entity type:Organization
Organization Name:CRQ CONSULTING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAMILLE
Authorized Official - Middle Name:RENEE'
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, AM, LCSW, LISW
Authorized Official - Phone:773-570-9346
Mailing Address - Street 1:293 RADIO CITY BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-8941
Mailing Address - Country:US
Mailing Address - Phone:312-203-0969
Mailing Address - Fax:
Practice Address - Street 1:293 RADIO CITY BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-8941
Practice Address - Country:US
Practice Address - Phone:312-203-0969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-12
Last Update Date:2021-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health