Provider Demographics
NPI:1063687515
Name:BAQJ CONSULTANTS, LLC
Entity Type:Organization
Organization Name:BAQJ CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:QUEEN JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:248-227-8455
Mailing Address - Street 1:20955 VIRGINIA ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2381
Mailing Address - Country:US
Mailing Address - Phone:248-227-8455
Mailing Address - Fax:248-354-3816
Practice Address - Street 1:20955 VIRGINIA ST
Practice Address - Street 2:SUITE B
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-2381
Practice Address - Country:US
Practice Address - Phone:248-227-8455
Practice Address - Fax:248-354-3816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL1095268251B00000X, 251E00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health