Organization
KNOWLEDGE QUEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LABRENDA THOMAS LCSW (CLINICAL THERAPIST/SOCIAL WORKER)
(501) 837-4526
Entity
Organization
Contact information
Practice address
990 COLLEGE PARK DR STE 104, MEMPHIS, TN 38126-6519
(901) 942-1512
Mailing address
PO BOX 2119, MEMPHIS, TN 38101-2119
(901) 942-1512
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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