Quality of Life Outpatient LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

QUALITY OF LIFE OUTPATIENT LLC

Practice address

1 Enterprise Pkwy Ste 315
Hampton, VA 23666-5845

Phone

(757) 998-2100

Fax

(757) 998-2101

NPI assigned

Dec 11, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Deuene Kennedy Hickman III

Title

Chief Executive Officer

Phone

(757) 998-2100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mario Deshaun Barnes, MSW

  • Clinical Social Worker
  • Hampton, VA
  • NPI 1548725203
  NPD (past)

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1144816380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ENTERPRISE PKWY STE 315",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665845",
            "telephone_number": "757-998-2100",
            "fax_number": "757-998-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ENTERPRISE PKWY STE 315",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665845",
            "telephone_number": "757-998-2100",
            "fax_number": "757-998-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5602 Virginia Beach Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234625631",
            "country_code": "US",
            "telephone_number": "757-998-2100",
            "fax_number": "757-998-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUALITY OF LIFE OUTPATIENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "DEUENE",
        "authorized_official_middle_name": "KENNEDY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "757-998-2100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yun Qin, MD
• Quad/Med, LLC
• Quality Advantage Home Products, Inc
• Quality Care Transportation, LLC
• Quality of Life Counseling Center LLC
• Libby Quann, RD
• Frederick Nelson Quarles, M.D.
• Quest Diagnostics Incorporated
• Charlotte Cribb Quinlan, MOTR/L
• Bryce Quinn, D.D.S.

• Mental Health Counselor in Hampton, VA
• Providers in Hampton, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.