Provider Demographics
NPI:1588008148
Name:QUICK EMPIRE, LLC
Entity Type:Organization
Organization Name:QUICK EMPIRE, LLC
Other - Org Name:QUICK EMPIRE YOUTH TRANSITIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:OLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:QUICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-862-1115
Mailing Address - Street 1:PO BOX 31633
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28231-1633
Mailing Address - Country:US
Mailing Address - Phone:843-862-1115
Mailing Address - Fax:
Practice Address - Street 1:3214 LEMONGRASS LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28214-0204
Practice Address - Country:US
Practice Address - Phone:843-862-1115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-24
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty