Provider Demographics
NPI:1013019405
Name:HEALTHQUEST BEHAVIORAL SERVICES, LLC
Entity Type:Organization
Organization Name:HEALTHQUEST BEHAVIORAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROEMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-358-8666
Mailing Address - Street 1:105 BRAUNLICH DR
Mailing Address - Street 2:SUITE 480 - MCKNIGHT PLAZA
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237
Mailing Address - Country:US
Mailing Address - Phone:412-358-8666
Mailing Address - Fax:412-358-8684
Practice Address - Street 1:105 BRAUNLICH DR
Practice Address - Street 2:SUITE 480 - MCKNIGHT PLAZA
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237
Practice Address - Country:US
Practice Address - Phone:412-358-8666
Practice Address - Fax:412-358-8684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1709706Medicaid
PA062810OtherBLUE SHIELD
PA387693OtherBLUE CROSS
PA017174Medicare ID - Type Unspecified