Provider Demographics
NPI:1326659053
Name:HEALING QUEST COUNSELING VILLAGES LLC
Entity Type:Organization
Organization Name:HEALING QUEST COUNSELING VILLAGES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DESIREE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUYTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:856-264-7811
Mailing Address - Street 1:2744 MAIN RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLINVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08322-2006
Mailing Address - Country:US
Mailing Address - Phone:856-264-7811
Mailing Address - Fax:
Practice Address - Street 1:2744 MAIN RD
Practice Address - Street 2:
Practice Address - City:FRANKLINVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08322-2006
Practice Address - Country:US
Practice Address - Phone:856-264-7811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center