Organization
QUAYLE INTERVENTIONAL SERVICES LLC
Active
Organization
QUAYLE INTERVENTIONAL SERVICES LLC
Active
Other names
Holisticare
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA BAZEMORE QUAYE DBH, CFNC, CEAP, SAP (CLINICAL DIRECTOR)
(443) 636-0686
Entity
Organization
Contact information
Practice address
5041 W NORTHERN AVE STE C, GLENDALE, AZ 85301-1539
(480) 508-1078
Mailing address
5041 W NORTHERN AVE STE C, GLENDALE, AZ 85301-1539
(480) 508-1078
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
106S00000X
Behavior Technician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/04/2025
Last updated
04/10/2026
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