Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Clinic/Center |
261Q00000X |
| NPI Number | 1477202471 |
| LBN Legal business name | QUIET PLACES CHRISTIAN COUNSELING, PLLC |
| Authorized official | GINA MARTIN - (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/18/2022 |
| Last updated | 03/18/2022 - About 4 years ago |
| Identifiers | n/a |
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