Provider Demographics
NPI:1851282008
Name:QUIET WATERS CLINICS LLC
Entity type:Organization
Organization Name:QUIET WATERS CLINICS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CRISTHIAN
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:HAQUIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-698-6413
Mailing Address - Street 1:9039 ANTARES AVE STE B1
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-4067
Mailing Address - Country:US
Mailing Address - Phone:614-698-6413
Mailing Address - Fax:614-505-0077
Practice Address - Street 1:9039 ANTARES AVE STE B1
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-4067
Practice Address - Country:US
Practice Address - Phone:614-698-6413
Practice Address - Fax:614-505-0077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-14
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care