Provider Demographics
NPI:1457050809
Name:QUINN, LAURA
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:QUINN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LUCAS
Other - Middle Name:
Other - Last Name:QUINN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1615 5TH STREET DR NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-5205
Mailing Address - Country:US
Mailing Address - Phone:858-774-9312
Mailing Address - Fax:
Practice Address - Street 1:105 HIDDENITE CHURCH RD
Practice Address - Street 2:
Practice Address - City:HIDDENITE
Practice Address - State:NC
Practice Address - Zip Code:28636-8168
Practice Address - Country:US
Practice Address - Phone:828-999-2768
Practice Address - Fax:828-471-3318
Is Sole Proprietor?:No
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional