MR. QUINTIN TALLEY (NPI# 1043672991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043672991 |
| Entity Type | Individual |
| Full Name | MR. QUINTIN TALLEY |
| Credential | LCPC |
| Practice Address |
9475 Lottsford Rd Ste 250 Largo MD 20774-5346 |
| Mailing Address |
9475 Lottsford Rd Ste 250 Upper Marlboro MD 20774-5346 |
| Practice Telephone | 3016366504 |
| Practice Fax Number | 3016366509 |
| Enumeration Date | 2016-03-21 |
| Last Update Date | 2017-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LC7176 | MD | Behavioral Health & Social Service Providers |
| Street Address |
9475 LOTTSFORD RD STE 250 |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154598308 | Qci Behavioral Health Consulting Group, LLC | Clinic/Center | 9475 Lottsford Rd Ste 250, Largo, MD 20774-5346 | 2008-05-15 |
| 1598249286 | Hanifa Addi | Counselor | 9475 Lottsford Rd Ste 250, Largo, MD 20774-5346 | 2018-09-19 |
| 1407287311 | Paul Edward Nolan Sr. | Registered Nurse | 9475 Lottsford Rd Ste 250, Largo, MD 20774-5346 | 2013-12-02 |
| 1194158550 | Willie Earl Ringold | Social Worker | 9475 Lottsford Rd Ste 250, Largo, MD 20774-5346 | 2013-08-20 |
| 1093099186 | Dawn Fisher | Registered Nurse | 9475 Lottsford Rd Ste 250, Largo, MD 20774-5346 | 2011-10-06 |
| 1134446081 | Patrick Daniel Nainoa Deleon | Social Worker | 9475 Lottsford Rd Ste 250, Largo, MD 20774-5346 | 2010-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681572 | Daine Barlow | Counselor | 3660 E Bay Dr Apt 1316, Largo, FL 33771-1942 | 2020-08-28 |
| 1346866720 | Jordan Stephen Wyns | Counselor | 11220 Oakhurst Rd, Largo, FL 33774-4447 | 2020-06-22 |
| 1922641059 | Jaclyn Settje Settje | Counselor | 1000 10th St Sw, Largo, FL 33770-4433 | 2019-10-22 |
| 1043851850 | Taquera M Riou | Counselor | 13500 Rodgers Ave Apt 308, Largo, FL 33771-4953 | 2019-10-02 |
| 1134774243 | Vaylah B Clinton | Counselor | 9500 Medical Center Dr Ste 106, Largo, MD 20774-3711 | 2019-08-06 |
| 1083273122 | Abbie Rolf | Counselor | 1000 Belcher Rd S Ste 3, Largo, FL 33771-3307 | 2019-06-12 |
| 1457813743 | Jessica Pitt Lombardo | Counselor | 801 W Bay Dr Ste 340, Largo, FL 33770-3220 | 2019-04-04 |
| 1346711363 | Transitions Counseling and Mentoring Services Inc. | Counselor | 9500 Medical Center Dr Ste 432, Largo, MD 20774-3716 | 2018-12-17 |
| 1710455787 | Empowerment Therapeutic Counseling,llc | Counselor | 1401 Mercantile Ln Ste 200l, Largo, MD 20774-4311 | 2018-11-08 |
| 1700379112 | Richard A Richert | Counselor | Alternatives In Behavioral Health, 1301 Seminole Blvd, Ste 169, Largo, FL 34698 | 2018-06-11 |
| Find all providers in LARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.