MEDICARE: A YOUNIQUE WELLNESS CARE CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1104337047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A YOUNIQUE WELLNESS CARE CLINIC

Provider Business Mailing Address
First Line	:	PO BOX 142
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-0142
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2831 ELDORADO PKWY
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75033-7438
Country	:	US
Telephone Number	:	972-382-9992
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. CELESTE CLARKE
Credential	:	DC
Telephone Number	:	972-382-9992

Provider Enumeration Date	:	10/18/2017
Last Update Date	:	04/04/2018

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Directions to “A YOUNIQUE WELLNESS CARE CLINIC ” Practice Location

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