Healthcare Provider Details

I. General information

NPI: 1063630572
Provider Name (Legal Business Name): UNIQUE FAMILY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3711 MARTIN LUTHER KING JR DR
LUMBERTON NC
28358-8840
US

IV. Provider business mailing address

3711 MARTIN LUTHER KING JR DR
LUMBERTON NC
28358-8840
US

V. Phone/Fax

Practice location:
  • Phone: 910-738-7474
  • Fax:
Mailing address:
  • Phone: 910-738-7474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMHL078180
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License NumberMHL078180
License Number StateNC

VIII. Authorized Official

Name: MS. CAROLYN K KING
Title or Position: OWNER
Credential:
Phone: 910-738-7474