Organization
KINGS QUEENS & CELEBRITIES, SPC
Active
Other names
kQc, Kings Queens Celebs, SPC
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUEITA BELL CPC, CM (PRINCIPLE / CAO / GENERAL MANAGER)
(253) 536-4580
Entity
Organization
Contact information
Practice address
13718 PACIFIC AVE S, TACOMA, WA 98444-4746
(253) 536-4580
(253) 584-2469
Mailing address
PO BOX 44836, TACOMA, WA 98448-0836
(253) 536-4580
(253) 584-2469
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/24/2024
Last updated
12/24/2024
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