Provider Demographics
NPI:1477228674
Name:HEALING QUEST LLC
Entity Type:Organization
Organization Name:HEALING QUEST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:SUPERVISEE
Authorized Official - Phone:757-998-9847
Mailing Address - Street 1:1233 23RD ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23607-4801
Mailing Address - Country:US
Mailing Address - Phone:757-998-9847
Mailing Address - Fax:
Practice Address - Street 1:1233 23RD ST
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23607-4801
Practice Address - Country:US
Practice Address - Phone:757-998-9847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty