Provider Demographics
NPI:1780487223
Name:QUINONES, NELSON TONY JR (MA, NCC)
Entity type:Individual
Prefix:
First Name:NELSON
Middle Name:TONY
Last Name:QUINONES
Suffix:JR
Gender:
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 STOVALL ST SE UNIT 1401
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-1533
Mailing Address - Country:US
Mailing Address - Phone:470-582-6398
Mailing Address - Fax:
Practice Address - Street 1:390 STOVALL ST SE UNIT 1401
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30316-1533
Practice Address - Country:US
Practice Address - Phone:470-582-6398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health