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General NPI Number Information
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NPI Number | 1760021166
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Entity Type | Organization
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Legal Business Name | UNIQUELYU COUNSELING
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Dates
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Enumeration Date | 01/02/2020
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 4033 VILLAGE PARK DR 1047
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City | KNIGHTDALE
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State | NC
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Zip | 27545-6622
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Country | US
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Telephone | 816-866-0373
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Fax |
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Provider Business Mailing Address
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Address Line | 4033 VILLAGE PARK DR 1047
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City | KNIGHTDALE
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State | NC
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Zip | 27545
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Country | US
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Telephone | 816-866-0373
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. LIANA K NELSON
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Credential | LPC, LCMHC, SATP
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Telephone | 816-866-0373
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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