1841469228 NPI number — MS. CARMELLA MARIE QUATTRO-HUNT LCPC

Table of content: MS. CARMELLA MARIE QUATTRO-HUNT LCPC (NPI 1841469228)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841469228 NPI number — MS. CARMELLA MARIE QUATTRO-HUNT LCPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
QUATTRO-HUNT
Provider First Name:
CARMELLA
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841469228
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/29/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9261 UPPER CREEK LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHESTERTOWN
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21620-4162
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-778-0708
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6602 CHURCH HILL RD STE 500
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHESTERTOWN
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21620-2303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-778-5550
Provider Business Practice Location Address Fax Number:
410-778-0984
Provider Enumeration Date:
02/29/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  LC0691 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 9074063 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: T418-0015 . This is a "BCBS NATIONAL GROUP#" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 2173195 . This is a "MAMSI" identifier , issued by the state of ( MH ) . This identifiers is of the category "OTHER".
  • Identifier: 2173195 . This is a "UBH" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 213195 . This is a "JOHNS HOPKINS EHP" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: LT86-620937-02 . This is a "BCBS LOCAL & GROUP" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com