Healthcare Provider Details
I. General information
NPI: 1013540673
Provider Name (Legal Business Name): UNITY YOUTH & FAMILY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/21/2020
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7810 DAVENPORT ST
OMAHA NE
68114-3629
US
IV. Provider business mailing address
7810 DAVENPORT ST
OMAHA NE
68114-3629
US
V. Phone/Fax
- Phone: 319-775-0051
- Fax:
- Phone: 319-775-0051
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NN0400X |
| Taxonomy | Neurology Chiropractor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171400000X |
| Taxonomy | Health & Wellness Coach |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CORINA
MAHER
Title or Position: OWNER/THERAPIST
Credential:
Phone: 319-775-0051