Provider Demographics
NPI:1073264800
Name:GARRETT, DENNIS (QMHS)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:GARRETT
Suffix:
Gender:M
Credentials:QMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1709 SPIELBUSCH AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-5372
Mailing Address - Country:US
Mailing Address - Phone:419-770-0295
Mailing Address - Fax:
Practice Address - Street 1:1709 SPIELBUSCH AVE STE 107
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-5372
Practice Address - Country:US
Practice Address - Phone:419-770-0295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health