Healthcare Provider Details

I. General information

NPI: 1891623898
Provider Name (Legal Business Name): UNIQUELY YOU BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E HAVEN AVE
NEW LENOX IL
60451-2021
US

IV. Provider business mailing address

1200 E. LINCOLN HWY
NEW LENOX IL
60451
US

V. Phone/Fax

Practice location:
  • Phone: 779-707-3717
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BROOKE A GARREN
Title or Position: FOUNDER/CEO
Credential:
Phone: 217-318-1076