Provider Demographics
NPI:1700419892
Name:QCI BEHAVIORAL HEALTH CONSULTING GROUP, LLC
Entity Type:Organization
Organization Name:QCI BEHAVIORAL HEALTH CONSULTING GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MILLIE
Authorized Official - Middle Name:P
Authorized Official - Last Name:RICHMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-643-3975
Mailing Address - Street 1:PO BOX 2525
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20604-2525
Mailing Address - Country:US
Mailing Address - Phone:301-643-3975
Mailing Address - Fax:443-964-4769
Practice Address - Street 1:9475 LOTTSFORD RD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-5357
Practice Address - Country:US
Practice Address - Phone:301-643-3975
Practice Address - Fax:443-964-4769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health