MEDICARE: YOUNIQ ERA CORPORATION

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1467391284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUNIQ ERA CORPORATION

Provider Business Mailing Address
First Line	:	5570 FM 423 STE 250
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75036-8929
Country	:	US
Telephone Number	:	469-200-2109
Fax Number	:

Provider Business Practice Location Address
First Line	:	14410 DEWBERRY DRIVE
Second Line	:
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660
Country	:	US
Telephone Number	:	469-200-2109
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KRYSTAL KELLOUGH
Credential	:
Telephone Number	:	469-200-2109

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

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Directions to “YOUNIQ ERA CORPORATION ” Practice Location

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