Qillawasi Llc

LBN: Qillawasi Llc
Qillawasi Llc is an health care organization with primary practice located at 2043 Weems Rd. Suite C2043, Tucker GA 30084. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Hearing and Speech, Ambulatory Health Care Facilities / Occupational Medicine. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Qillawasi Llc can be contacted via phone (470) 658-9610, or through Dargent, Andres via phone (470) 658-9610.

Contact Information

Primary practice address
2043 Weems Rd. Suite C2043 Tucker GA 30084
Phone: (470) 658-9610
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dargent, Andres
Phone: (470) 658-9610

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Hearing and Speech 261QH0700X
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X

Profile Details

NPI number 1467108035
LBN Legal business name Qillawasi Llc
DBA Doing business as
Authorized official Dargent, Andres
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2022
Last updated Feb 23rd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers