Provider Demographics
NPI:1235486564
Name:QUEST
Entity Type:Organization
Organization Name:QUEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPAETH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT,LPC,
Authorized Official - Phone:580-298-3002
Mailing Address - Street 1:608 NW 25TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-1424
Mailing Address - Country:US
Mailing Address - Phone:405-318-7407
Mailing Address - Fax:
Practice Address - Street 1:608 NW 25TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-1424
Practice Address - Country:US
Practice Address - Phone:405-318-7407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization