Provider Demographics
NPI:1932769106
Name:QUEST COUNSELING AGENCY, LLC
Entity Type:Organization
Organization Name:QUEST COUNSELING AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:DENNISON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, PSYD, EDD
Authorized Official - Phone:801-388-1650
Mailing Address - Street 1:PO BOX 73
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36048-0073
Mailing Address - Country:US
Mailing Address - Phone:801-388-1650
Mailing Address - Fax:
Practice Address - Street 1:76 VICTORIA ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:AL
Practice Address - Zip Code:36048-3525
Practice Address - Country:US
Practice Address - Phone:801-388-1650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-19
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty