NPI age
3 years
Enumerated 2023-04-05
● Active Type 2 · Organization
Mqa Enrichment Services Llc
Mqa Enrichment Services Llc is 1 of 247 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wiggins
Ceo
Last NPPES update
2023-04-05
Source: monthly bulk 2026-05
How this organization compares
Across 247 active clinic/center providers in Georgia.
NPI age
3 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 32% of peers with subspecialties
NPI lifetime · 2023 → 2026
2023-04Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
5300 Memorial Dr Ste 121
Stone Mountain, GA 300833154
Mailing address
Po Box 634
Wilmington, NC 284020634
Authorized official
Denise Wiggins
Ceo
📞 9197104252
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Benita Green Counselor NPI 1851868616
- Raquel Watson, M.D. Family Medicine NPI 1215936323
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
-
Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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