MEDICARE: UNIQUABILITY THERAPY AND COUNSELING PLLC

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1871370809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIQUABILITY THERAPY AND COUNSELING PLLC

Provider Business Mailing Address
First Line	:	6001 W PARMER LN STE 3701147
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78727-3901
Country	:	US
Telephone Number	:	818-671-8380
Fax Number	:

Provider Business Practice Location Address
First Line	:	2212 FUZZ FAIRWAY APT B
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78728-4511
Country	:	US
Telephone Number	:	818-671-8380
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	IMANE BOULARES
Credential	:
Telephone Number	:	818-671-8380

Provider Enumeration Date	:	09/13/2023
Last Update Date	:	09/21/2023

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