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NPI 1013649375

NPI 1013649375 : UNIQUELY YOU SOCIAL SERVICES & COUNSELING AGENCY : NORTH LITTLE ROCK, AR

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General NPI Number Information
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    NPI Number           |    1013649375
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNIQUELY YOU SOCIAL SERVICES & COUNSELING AGENCY 
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Dates
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    Enumeration Date     |    06/27/2022
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    Last Update Date     |    06/20/2023
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Provider Practice Location Address
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    Address Line         |    5301 MCCLANAHAN DR STE C5 
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    City                 |    NORTH LITTLE ROCK
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    State                |    AR
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    Zip                  |    72116-7080
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    Country              |    US
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    Telephone            |    501-348-0542
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    Fax                  |    501-209-4205
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Provider Business Mailing Address
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    Address Line         |    6834 CANTRELL RD # 1128 
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    City                 |    LITTLE ROCK
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    State                |    AR
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    Zip                  |    72207-4135
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    Country              |    US
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    Telephone            |    888-626-5642
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |     RACHONDRA ANNESE HILL 
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    Credential           |    
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    Telephone            |    888-626-5642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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