Healthcare Provider Details

I. General information

NPI: 1366364705
Provider Name (Legal Business Name): U R UNIQUE COUNSELING SPA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7048 OLD CANTON RD STE 2002
RIDGELAND MS
39157-1021
US

IV. Provider business mailing address

506 ARBOR LN
BRANDON MS
39047-7075
US

V. Phone/Fax

Practice location:
  • Phone: 601-942-0037
  • Fax: 901-791-4390
Mailing address:
  • Phone: 601-342-0037
  • Fax: 901-791-4390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: TONI JONES
Title or Position: OWNER
Credential: LPC
Phone: 601-942-0037