Quincie K. Burgess
Individual provider Active NPI Mental Health Counselor · Waianae, HI
NPI 1003075342 · NPPES record last updated Dec 8, 2010
Key facts
- NPI
- 1003075342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 85-979 Mill St
Waianae, HI 96792-2645 - Phone
- (808) 696-9498
- Fax
- (808) 696-9403
- NPI assigned
- Jun 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
85-979 Mill St
Waianae, HI 96792-2645
Mailing address
86-226 Farrington Hwy
Waianae, HI 96792-3128
Phone (808) 696-4211
Other providers in Waianae, HI
- Breaking Boundaries Recovery Services
- Breaking Boundaries Recovery Services
- Verna Brooks
- Kyra Brown
- Harry Burgess Jr.
- Marcin Bury
- Elizabeth Cabrera
- Markjason Tabudlo Cabudol
- Vivian Saschet Calderon-Guzman Tobby
- Kevin M Calleon
All providers in Waianae, HI · Mental Health Counselor in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.