MQA ENRICHMENT SERVICES LLC NPI 1043905201

NPI Information

  • NPI: 1043905201
  • Provider Name: MQA ENRICHMENT SERVICES LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 5300 MEMORIAL DR STE 121
    STONE MOUNTAIN, GA
    ZIP 30083
  • Phone: (919) 710-4252

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NPI Details

MQA ENRICHMENT SERVICES LLC is an adult mental health clinic center in Stone Mountain, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MQA ENRICHMENT SERVICES LLC NPI is 1043905201. The provider is registered as an organization entity type.

The provider's business location address is:

5300 MEMORIAL DR STE 121
STONE MOUNTAIN, GA
ZIP 30083-154
Phone: (919) 710-4252

The provider's authorized official is Denise Wiggins .
The authorized official title is Ceo and has the following contact phone number (919) 710-4252.

The enumeration date for this NPI number is 4/5/2023 and was last updated on 4/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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