| Qol Treatment Holdings Llc | |
|
255 N Main St Unit 2041 Jonesboro GA 30237-2670 | |
| (678) 900-7440 | |
| (475) 575-2885 |
| Full Name | Qol Treatment Holdings Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 255 N Main St Unit 2041, Jonesboro, Georgia |
| Authorized Official Name and Position | Shanita Witherspoon (CEO) |
| Authorized Official Contact | 6789007440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Qol Treatment Holdings Llc Po Box 2041 Jonesboro GA 30237-2041 Ph: (678) 900-7440 | Qol Treatment Holdings Llc 255 N Main St Unit 2041 Jonesboro GA 30237-2670 Ph: (678) 900-7440 |
| NPI Number | 1952150328 |
|---|---|
| Provider Enumeration Date | 05/16/2024 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952150328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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