Mqa Enrichment Services LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MQA ENRICHMENT SERVICES LLC

Practice address

5300 Memorial Dr Ste 121
Stone Mountain, GA 30083-3154

Phone

(919) 710-4252

NPI assigned

Apr 5, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Denise Wiggins

Title

Ceo

Phone

(919) 710-4252

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1043905201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284020634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 MEMORIAL DR STE 121",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833154",
            "telephone_number": "919-710-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MQA ENRICHMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-710-4252",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taneisha Cherrelle Moss, MS, LPC, NCC
• Mothers Wish LLC
• Motivated Path Counseling
• Mountain Park Primary Care Center
• Mountain Specialty Pharmacy LLC
• Mqa Enrichment Services LLC
• Ian James Mudge, L.P.C.
• Lilian Mugwede
• Bryan Muriel, COTA
• Russ Murphy

• Adult Mental Health Clinic/Center in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.