| Quality Mental Health Services Qmhs Llc | |
|
1360 N Bullard Ave Ste 200 Goodyear AZ 85395-2711 | |
| (623) 282-4586 | |
| (623) 263-2917 |
| Full Name | Quality Mental Health Services Qmhs Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1360 N Bullard Ave Ste 200, Goodyear, Arizona |
| Authorized Official Name and Position | Althein Nicholson (PROVIDER) |
| Authorized Official Contact | 6236934826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Mental Health Services Qmhs Llc 1360 N Bullard Ave Ste 200 Goodyear AZ 85395-2711 Ph: (623) 282-4586 | Quality Mental Health Services Qmhs Llc 1360 N Bullard Ave Ste 200 Goodyear AZ 85395-2711 Ph: (623) 282-4586 |
| NPI Number | 1770201113 |
|---|---|
| Provider Enumeration Date | 08/22/2022 |
| Last Update Date | 01/14/2025 |
| Certification Date | 01/09/2025 |
| Medicare PECOS PAC ID | 6406385483 |
|---|---|
| Medicare Enrollment ID | O20250121000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770201113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Althein Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336884519 PECOS PAC ID: 5799229159 Enrollment ID: I20240712000978 |
| Provider Name | Karlton Eduardo Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225513138 PECOS PAC ID: 7113456195 Enrollment ID: I20250206003043 |
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