MEDICARE: BUNIQUE COUNSELING SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	251B00000X	Case Management Agency
3	101YA0400X	Addiction (Substance Use Disorder) Counselor
4	101YM0800X	Mental Health Counselor
5	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1821614298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUNIQUE COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	10045 MIDLOTHIAN TPKE FL 2
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-4857
Country	:	US
Telephone Number	:	804-304-2580
Fax Number	:	804-773-4554

Provider Business Practice Location Address
First Line	:	10045 MIDLOTHIAN TPKE FL 2
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-4857
Country	:	US
Telephone Number	:	804-304-2580
Fax Number	:	804-773-4554

Authorized Official
Title or Position	:	OWNER
Name	:	TAMICA EDMONDS
Credential	:	LPC
Telephone Number	:	804-304-2580

Provider Enumeration Date	:	06/22/2020
Last Update Date	:	03/11/2026

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