Provider Demographics
NPI:1770201113
Name:QUALITY MENTAL HEALTH SERVICES QMHS LLC
Entity type:Organization
Organization Name:QUALITY MENTAL HEALTH SERVICES QMHS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALTHEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NICHOLSON
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:623-693-4826
Mailing Address - Street 1:1360 N BULLARD AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-2711
Mailing Address - Country:US
Mailing Address - Phone:623-282-4586
Mailing Address - Fax:623-263-2917
Practice Address - Street 1:1360 N BULLARD AVE STE 200
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-2711
Practice Address - Country:US
Practice Address - Phone:623-282-4586
Practice Address - Fax:623-263-2917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)