Provider Demographics
NPI:1891475059
Name:R & L QUEST LLC
Entity Type:Organization
Organization Name:R & L QUEST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RUDOLPH
Authorized Official - Middle Name:
Authorized Official - Last Name:WIETFELDT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:619-616-0706
Mailing Address - Street 1:4009 ELSIE ST
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-8304
Mailing Address - Country:US
Mailing Address - Phone:619-616-0706
Mailing Address - Fax:
Practice Address - Street 1:2181 S EL CAMINO REAL STE 202
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6267
Practice Address - Country:US
Practice Address - Phone:619-616-0706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:R & L QUEST LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)