Provider Demographics
NPI:1841989126
Name:OPTIMAL QUALITY HEALTH SOLUTIONS LLC
Entity type:Organization
Organization Name:OPTIMAL QUALITY HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TANEA
Authorized Official - Middle Name:MARLENE
Authorized Official - Last Name:COUTHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-447-0684
Mailing Address - Street 1:409 WHEATON PL APT B
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-3322
Mailing Address - Country:US
Mailing Address - Phone:443-447-6084
Mailing Address - Fax:
Practice Address - Street 1:4210 LEEDS AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5421
Practice Address - Country:US
Practice Address - Phone:443-447-6084
Practice Address - Fax:443-315-5609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty