| Quantum Consulting Group Llc | |
|
911 Washington Ave Ste 501 Saint Louis MO 63101-1272 | |
| (888) 441-3959 | |
| Not Available |
| Full Name | Quantum Consulting Group Llc |
|---|---|
| Speciality | Counselor |
| Location | 911 Washington Ave Ste 501, Saint Louis, Missouri |
| Authorized Official Name and Position | Calvin E. Spinks (CO-FOUNDER) |
| Authorized Official Contact | 8884413959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quantum Consulting Group Llc 3050 Post Oak Blvd Ste 510 Houston TX 77056-6512 Ph: (888) 441-3959 | Quantum Consulting Group Llc 911 Washington Ave Ste 501 Saint Louis MO 63101-1272 Ph: (888) 441-3959 |
| NPI Number | 1992242507 |
|---|---|
| Provider Enumeration Date | 01/21/2017 |
| Last Update Date | 03/25/2024 |
| Certification Date | 03/21/2024 |
| Medicare PECOS PAC ID | 7315386091 |
|---|---|
| Medicare Enrollment ID | O20240415000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992242507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180009950 (Illinois) | Primary |
| 1041C0700X | Social Worker - Clinical | 180009950 (Illinois) | Secondary |
| Provider Name | Calvin E Spinks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760927693 PECOS PAC ID: 6305213190 Enrollment ID: I20231206002478 |
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