Organization Active NPI

QRS Family Wellness Center LLC

  • Clinical Social Worker
  • Flint, MI
National Provider Identifier
1023769981
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
QRS FAMILY WELLNESS CENTER LLC
Practice address
2503 S Linden Rd Ste 190a
Flint, MI 48532-5462
Phone
(810) 370-0409
NPI assigned
Jan 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Qudonya Smith
Title
LCSW
Phone
(810) 391-6610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2503 S Linden Rd Ste 190a
Flint, MI 48532-5462

Mailing address

2503 S Linden Rd Ste 190a
Flint, MI 48532-5462

National Provider Directory

National Provider Directory

Locations

2503 S Linden Rd
Ste 190A
Flint, MI 48532
Phone (810) 370-0409

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1023769981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 S LINDEN RD STE 190A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 S LINDEN RD STE 190A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325462",
            "telephone_number": "810-370-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QRS FAMILY WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "QUDONYA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "810-391-6610"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.