MEDICARE: UNITY PSYCHIATRY, LLC

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	101YM0800X	Mental Health Counselor
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1942058664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY PSYCHIATRY, LLC

Provider Business Mailing Address
First Line	:	3268 W HOUSTON RIVER RD
Second Line	:
City	:	SULPHUR
State	:	LA
Zip	:	70663-0533
Country	:	US
Telephone Number	:	504-408-1023
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 S HUNTINGTON ST
Second Line	:
City	:	SULPHUR
State	:	LA
Zip	:	70663-4419
Country	:	US
Telephone Number	:	504-408-1023
Fax Number	:

Authorized Official
Title or Position	:	NP
Name	:	SARAH MONCEAUX
Credential	:	NP
Telephone Number	:	504-408-1023

Provider Enumeration Date	:	05/08/2024
Last Update Date	:	05/08/2024

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