Provider Demographics
NPI:1134722846
Name:QUINN, BELSIDA KAPLLANAJ (LPC-I)
Entity type:Individual
Prefix:MS
First Name:BELSIDA
Middle Name:KAPLLANAJ
Last Name:QUINN
Suffix:
Gender:F
Credentials:LPC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16044 FITCHBURG CIR
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-2461
Mailing Address - Country:US
Mailing Address - Phone:832-515-4428
Mailing Address - Fax:512-200-2685
Practice Address - Street 1:1101 SATELLITE VW UNIT 501
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-1591
Practice Address - Country:US
Practice Address - Phone:512-643-7473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76445101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional