Healthcare Provider Details

I. General information

NPI: 1649788225
Provider Name (Legal Business Name): UNITY HEALTHCARE CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2018
Last Update Date: 01/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

968 E SAHARA AVE STE C
LAS VEGAS NV
89104-3022
US

IV. Provider business mailing address

968 E SAHARA AVE STE C
LAS VEGAS NV
89104-3022
US

V. Phone/Fax

Practice location:
  • Phone: 702-718-0217
  • Fax:
Mailing address:
  • Phone: 702-718-0217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: LUIS ROCHA
Title or Position: CEO
Credential:
Phone: 786-328-4437