Quilted Rose Clinical Services, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

QUILTED ROSE CLINICAL SERVICES, PLLC

Practice address

269 Walker St Ste 256
Detroit, MI 48207-4258

Phone

(828) 276-2788

NPI assigned

Oct 15, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Walker, PSYD, LPC

Title

Owner

Phone

(313) 403-3900

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1952909558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 W CANFIELD ST APT 3",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011140",
            "telephone_number": "313-403-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 WALKER ST STE 256",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074258",
            "telephone_number": "828-276-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUILTED ROSE CLINICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-403-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Earl Quick Jr., CPRM
• Rodney Quick
• Quicktrip Management LLC
• Quiet Avenue LLC
• Mary Helen Quigg, M.D.
• Angela Lena Quinn, NONE
• Caprice Ellene Quinn
• Heather Lee Quinn, OTRL
• Kelly Anne Quinn, MA, LPC
• Laonis Quinn

• Professional Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.