Provider Demographics
NPI:1265705461
Name:DQS COMMUNICATIONS HEALTH CARE GROUP
Entity type:Organization
Organization Name:DQS COMMUNICATIONS HEALTH CARE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:GLENN
Authorized Official - Suffix:
Authorized Official - Credentials:BSHA
Authorized Official - Phone:757-864-0675
Mailing Address - Street 1:606 DENBIGH BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-4413
Mailing Address - Country:US
Mailing Address - Phone:757-864-0673
Mailing Address - Fax:757-282-7744
Practice Address - Street 1:606 DENBIGH BLVD STE 100
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-4413
Practice Address - Country:US
Practice Address - Phone:757-864-0673
Practice Address - Fax:757-282-7744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-17
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040009531041C0700X
VA09040032201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1700840071Medicaid
VAVAA104119Medicare PIN