Provider Demographics
NPI:1891573705
Name:QUARLES, BRIANNA ALAINE (LPC)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:ALAINE
Last Name:QUARLES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 HARVEST RIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:TX
Mailing Address - Zip Code:78621-2425
Mailing Address - Country:US
Mailing Address - Phone:803-387-3052
Mailing Address - Fax:
Practice Address - Street 1:141 HARVEST RIDGE BLVD
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:TX
Practice Address - Zip Code:78621-2425
Practice Address - Country:US
Practice Address - Phone:803-387-3052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional