Q's and Poetic's Special Education and Family Support Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2640 Issued in VA

Legal business name

Q'S AND POETIC'S SPECIAL EDUCATION AND FAMILY SUPPORT SERVICES LLC

Practice address

610 Thimble Shoals Blvd
Ste 201D
Newport News, VA 23606-4510

Phone

(757) 591-8400

Fax

(757) 591-0900

NPI assigned

Feb 4, 2016

Last updated

Feb 4, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

Q'S AND POETIC'S SPECIAL EDUCATION AND FAMILY SUPPORT SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Cora Thomas Johnson, AAPSY,BSHS/M,QMHP

Title

Ceo

Phone

(757) 775-1612

Specialties & licenses 1

Addresses

Part of

Q's and Poetic's Special Education and Family Support Services LLC

Locations

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1750749735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 THIMBLE SHOALS BLVD",
            "address_2": "STE 201D",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064510",
            "telephone_number": "757-591-8400",
            "fax_number": "757-591-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 THIMBLE SHOALS BLVD",
            "address_2": "STE 201D",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064510",
            "telephone_number": "757-591-8400",
            "fax_number": "757-591-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Q'S AND POETIC'S SPECIAL EDUCATION AND FAMILY SUPPORT SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "Q'S AND POETIC'S SPECIAL EDUCATION AND FAMILY SUPPORT SERVICES LLC",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CORA",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-775-1612",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AAPSY,BSHS/M,QMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "2640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.