MEDICARE: UNITY 4 US COMMUNITY OUTREACH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP1600X	Pastoral Counselor

General Provider Information

NPI Number	:	1710443395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY 4 US COMMUNITY OUTREACH

Provider Business Mailing Address
First Line	:	945 ETTA PL
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28054-4308
Country	:	US
Telephone Number	:	888-327-5557
Fax Number	:

Provider Business Practice Location Address
First Line	:	945 ETTA PL
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28054-4308
Country	:	US
Telephone Number	:	888-327-5557
Fax Number	:

Authorized Official
Title or Position	:	CEO/FOUNDER
Name	:	SHARLENE S MULLINGS
Credential	:
Telephone Number	:	301-237-0992

Provider Enumeration Date	:	02/19/2019
Last Update Date	:	12/17/2025

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