Provider Demographics
NPI:1871376392
Name:QUEST BEHAVIORAL MEDICAL SOLUTIONS LLC
Entity type:Organization
Organization Name:QUEST BEHAVIORAL MEDICAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:GUADALUPE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCAMILLA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC-S
Authorized Official - Phone:214-288-8093
Mailing Address - Street 1:PO BOX 192126
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-8513
Mailing Address - Country:US
Mailing Address - Phone:214-288-8093
Mailing Address - Fax:
Practice Address - Street 1:800 W AIRPORT FWY STE 630
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-6268
Practice Address - Country:US
Practice Address - Phone:214-288-8093
Practice Address - Fax:972-812-5091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty