Healthcare Provider Details

I. General information

NPI: 1679196935
Provider Name (Legal Business Name): UNIQUE APPROACH CONSULTING & COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2020
Last Update Date: 08/02/2020
Certification Date: 08/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 SUTTERVILLE RD
SACRAMENTO CA
95822-1150
US

IV. Provider business mailing address

1633 JANRICK AVE
SACRAMENTO CA
95832-1116
US

V. Phone/Fax

Practice location:
  • Phone: 414-405-2690
  • Fax: 888-234-7416
Mailing address:
  • Phone: 414-405-2690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. THERESA BOSWELL
Title or Position: CEO/ PSYCHOTHERAPIST
Credential: PHD, LCSW
Phone: 414-405-2690