Provider Demographics
NPI:1902939580
Name:SMILING, QUINCY ROCHELLE (PHD, LCAS-A)
Entity Type:Individual
Prefix:MR
First Name:QUINCY
Middle Name:ROCHELLE
Last Name:SMILING
Suffix:
Gender:M
Credentials:PHD, LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4968 MOUNT HOPE DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27107-8209
Mailing Address - Country:US
Mailing Address - Phone:336-896-0904
Mailing Address - Fax:
Practice Address - Street 1:7830 N POINT BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3261
Practice Address - Country:US
Practice Address - Phone:336-896-0904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)