Organization
QUALITY MOMENTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA MYERS LISW-S (EXECUTIVE DIRECTOR)
(740) 868-9362
Entity
Organization
Contact information
Practice address
10400 BLACKLICK EASTERN RD, PICKERINGTON, OH 43147-8235
(614) 726-7359
Mailing address
10400 BLACKLICK EASTERN RD, PICKERINGTON, OH 43147-8235
(614) 762-7359
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01-8763
—
OH
Enumeration date
05/02/2022
Last updated
07/15/2024
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