Organization Name: | QUIET MIND PSYCHOTHERAPEUTIC SERVICES, INC. |
NPI Number: | 1174905335 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUEANN FAITH SCHWILLE (VICE PRESIDENT/CLINICIAN) |
Mailing Address: | 11 Water St Front Royal |
State: | VA US |
Postal Code: | 226303001 |
Phone Number: | 5402524997 |
Fax Number: | 5405513294 |
NPI Enumeration Date: | 06/24/2015 |
NPI Last Update Date: | 06/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904008870 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |