Provider Demographics
NPI:1679445118
Name:THE QUINN COLLECTIVE NC LLC
Entity type:Organization
Organization Name:THE QUINN COLLECTIVE NC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR TECHNICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DORIAN
Authorized Official - Middle Name:JOYCELYN
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-431-0957
Mailing Address - Street 1:1192 CODDLE CREEK HWY
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-7788
Mailing Address - Country:US
Mailing Address - Phone:704-431-0957
Mailing Address - Fax:
Practice Address - Street 1:1192 CODDLE CREEK HWY
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-7788
Practice Address - Country:US
Practice Address - Phone:704-431-0957
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty