MEDICARE: UNIQUELY CENTERED THERAPEUTIC SERVICE 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
1	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942958475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIQUELY CENTERED THERAPEUTIC SERVICE LLC

Provider Business Mailing Address
First Line	:	1325 E KEMPER RD STE 115
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45246-3921
Country	:	US
Telephone Number	:	513-671-8287
Fax Number	:	513-671-8288

Provider Business Practice Location Address
First Line	:	1325 E KEMPER RD STE 115
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45246-3921
Country	:	US
Telephone Number	:	513-671-8287
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MRS. LADRINA LATRECE EVES
Credential	:	LPCC
Telephone Number	:	513-671-8287

Provider Enumeration Date	:	03/14/2022
Last Update Date	:	11/18/2025

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