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NPI Code Detail

MEDICARE: UNIQUELY NEW SERVICES, LLC

MEDICARE: UNIQUELY NEW SERVICES, LLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2174200000XMeals Provider
3251B00000XCase Management Agency
4253Z00000XIn Home Supportive Care Agency
5261QM0855XAdolescent and Children Mental Health Clinic/Center
6343900000XNon-emergency Medical Transport (VAN)
7251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1538936562
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIQUELY NEW SERVICES, LLC
Provider Business Mailing Address
First Line : PO BOX 90573
Second Line :
City : HOUSTON
State : TX
Zip : 77290-0573
Country : US
Telephone Number : 281-691-6696
Fax Number : 281-691-6696
Provider Business Practice Location Address
First Line : 24 GREENWAY PLZ STE 1800
Second Line :
City : HOUSTON
State : TX
Zip : 77046-2457
Country : US
Telephone Number : 281-691-6696
Fax Number : 281-691-6696
Authorized Official
Title or Position : PRESIDENT
Name : UNIQUA ARCHIE
Credential : MHFA, RSPS
Telephone Number : 281-691-6696
Provider Enumeration Date : 12/11/2023
Last Update Date : 12/11/2023

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Directions to “UNIQUELY NEW SERVICES, LLC ” Practice Location

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